Richard P. Boughal, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

149485 Issued in NY

Legal business name

RICHARD P. BOUGHAL, M.D., P.C.

Practice address

308 Main St
Northport, NY 11768-1740

Phone

(631) 261-3243

Fax

(631) 757-6804

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Richard Patrick Boughal, M.D.

Title

President

Phone

(631) 261-3243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1790942944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681740",
            "telephone_number": "631-261-3243",
            "fax_number": "631-757-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681740",
            "telephone_number": "631-261-3243",
            "fax_number": "631-757-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. BOUGHAL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BOUGHAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-261-3243",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Patrick Reilly
• Katherine Reinertsen-Rubin, N.P.
• George M Reisine, PHD
• Mary K Reynolds Gilmore
• Ira Rezak, M.D.
• Edward James Richards
• Jean Frances Richards, RD
• Nicole Marie Richichi, MSW
• Martha V Ringen, M.S. LSP
• Allisa Marie Risebrow

• Internal Medicine Physician in Northport, NY
• Providers in Northport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.