Carline Boubert, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008145 Issued in NY

Practice address

1281 Sterling PL
Brooklyn, NY 11213-2869

Phone

(718) 363-9260

Fax

(718) 363-2915

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1801185418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132869",
            "telephone_number": "718-363-9260",
            "fax_number": "718-363-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132869",
            "telephone_number": "718-363-9260",
            "fax_number": "718-363-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUBERT",
        "first_name": "CARLINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Catherine Botyanski, PH.D.
• Fouad Georges Bou Harb, MD
• Jad Bou Monsef, M.D.
• Ihsane Boualaoui, FNP
• Anne Bretagne Boubert- Saint Jour, PMHNP-BC
• Benjamin Boubli
• Lorraine Boucaud-Currie, LMSW
• Danielle Elizabeth Boucaud, MD
• Jeffrey Bouchard-Burns, MD
• Courtney Bouchard

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.