Fayez Botros

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

337173 Issued in NY

Practice address

383 Brookfield Ave
Staten Island, NY 10308-1406

Phone

(347) 308-3588

NPI assigned

Aug 4, 2020

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1801406988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 BROOKFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 BROOKFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081406",
            "telephone_number": "347-308-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "FAYEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Milton Bosoy, MD
• Evelyn Boss, P.A.
• Janice Lynne Anne Bossert-McSwiggan, FNP
• Laura Ann Bossert, MSSPED
• Fiana Gabriella Botkhin
• Gabriella Bottalico
• Yasmin Rose Botte, LMHC
• Julia Marie Bottiglieri
• Elie Bou Sanayeh, M.D.
• Victoria Boucard, OTR/L

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.