Boyd H Seidenberg Mdpa

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA022326 Issued in NJ

Legal business name

BOYD H SEIDENBERG MDPA

Practice address

85 S Maple Ave
Ridgewood, NJ 07450-4561

Phone

(201) 447-2700

Fax

(201) 447-5775

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Boyd H Seidenberg, MD

Title

President

Phone

(201) 447-2700

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran Bhagwan Amesur, M.D.

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1104900778
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811921802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504561",
            "telephone_number": "201-447-2700",
            "fax_number": "201-447-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504561",
            "telephone_number": "201-447-2700",
            "fax_number": "201-447-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD H SEIDENBERG MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIDENBERG",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-447-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA022326",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "0907611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolay Bogush
• Lauren Bomberg, LPC
• Nancy Jane Bortinger, LCSW
• Beth A Bosticco, PA-C
• Kristen Tozzi Boyan, LCSW
• Bradford C. Liva, M.D.,PA
• Summer B Brancoccio, LAC, LCADC
• Breathe Well Corporation
• Brendan P Sullivan MD Facc LLC
• Anne Frances Brennecke, APN

• Ophthalmology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.