Bozena Rozum Slota, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

208938 Issued in NY

Practice address

33-57 Harrison St
Johnson City, NY 13790-2143

Phone

(607) 763-6151

Fax

(607) 763-5252

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1699760967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902580",
            "telephone_number": "607-729-8156",
            "fax_number": "607-729-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902143",
            "telephone_number": "607-763-6151",
            "fax_number": "607-763-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTA",
        "first_name": "BOZENA",
        "middle_name": "ROZUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "208938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyanka Ratibhan Singh, MD
• Marianne Sivak, SLP
• Suvetha Sivakumar
• Rachel Marie Skovira, NP
• Mary Catherine Slome, MD
• Kirtan Slottje, MS, RD, CDN
• Small Wonders Early Intervention Services, Inc.
• Peggy Ann Smith Rood, LMT
• Aubrin Smith
• Gregory Scott Smith, LMSW

• Anatomic Pathology & Clinical Pathology Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.