Individual provider Active NPI

Suzana Bojkovic

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1750974408
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347174-01 Issued in NY
Practice address
7098 Amboy Rd
Staten Island, NY 10307-1402
Phone
(718) 356-5600
NPI assigned
Feb 13, 2021
Last updated
Feb 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347174-01 NY Primary

Addresses

Primary practice location

7098 Amboy Rd
Staten Island, NY 10307-1402

Mailing address

34 Oneida Ave
Staten Island, NY 10301-4318
Phone (646) 334-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304004044 NY Practitioner - Nurse Practitioner 4981186392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

820 US Route 9 Northway Plaza
Suite 4F
Queensbury, NY 12804-1766

PO Box
Suite 25213
Belfast, ME 04915-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F347174-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Jan 11, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suzana.bojkovic.1@19656.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1750974408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ONEIDA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014318",
            "telephone_number": "646-334-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7098 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071402",
            "telephone_number": "718-356-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJKOVIC",
        "first_name": "SUZANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347174-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.