Kathy Boadway, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050578 Issued in NY

Practice address

99 Cold Spring Rd Ste 1
Syosset, NY 11791-3140

Phone

(516) 921-7444

Fax

(516) 921-7287

NPI assigned

May 15, 2007

Last updated

Jan 25, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 2, 2016 through Mar 2, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eugene Avrash DDS, Kathy Boadway DDS, PLLC

  dba Cold Spring Dental

  • General Practice Dentistry
  • Syosset, NY
  • NPI 1336686526
  NPD (past) Authorized official
• North Shore Prosthodontics of Woodbury

  • Dentist
  • Woodbury, NY
  • NPI 1003903253
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1700092848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 COLD SPRING RD STE 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913140",
            "telephone_number": "516-921-7444",
            "fax_number": "516-921-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 COLD SPRING RD STE 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913140",
            "telephone_number": "516-921-7444",
            "fax_number": "516-921-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADWAY",
        "first_name": "KATHY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Joy Bloom, FNP
• Jodi Bloomgarden, MS, CCC/SLP
• Virginia Blum
• Nina Blumenfeld, LCSW
• Amy Blustein, M.S.
• Eve R H Boden, MSW LCSW
• Jerome Bogin, D.D.S.
• Nora Ann Bolin, ATC, PTA
• Bomo, Inc.
• Linda Lefkon Bomse, LCSW

• General Practice Dentistry in Syosset, NY
• Providers in Syosset, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.