Nathan Boldur

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

205589 Issued in NY

Practice address

115 Eastern Pkwy
Suite 1G
Brooklyn, NY 11238-6085

Phone

(718) 636-1182

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nathan Boldur MD PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1558501213
  Authorized official Same address or phone
• JHMC Diagnostic and Treatment Center

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1821045485

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780757211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTERN PKWY",
            "address_2": "SUITE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EASTERN PKWY",
            "address_2": "SUITE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386085",
            "telephone_number": "718-636-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUR",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "205589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bolden
• Jahne Bolden
• Jaja Bolden
• Michael Laurence Bolden, DDS
• Rochlle Bolden
• Stacey Lee Bolembach
• Anastasiya Bolgova
• Shakhnoza Bolieva
• Darko Boljevic, MD
• Natalia Bolkvadze

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.