Julie Boerger, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

055919 Issued in NY

Practice address

228 E Main St
East Islip, NY 11730-2711

Phone

(631) 581-8600

NPI assigned

Jul 16, 2010

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary a. Rosenfeld, DDS, PC

  • Dental Clinic/Center
  • East Islip, NY
  • NPI 1649606070
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1841503000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MACON AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822409",
            "telephone_number": "631-379-8863",
            "fax_number": "631-218-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302711",
            "telephone_number": "631-581-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERGER",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke L Bickford
• Edward J Bieniewicz, MD
• Lauren Bilello, M.S., SLP
• Carol Grace Bishop, RN
• Stanley Blyskal, M.D.
• Linda O Bogarowski
• Victoria Bonomo, NP
• Laura Kristine Bowen, D.C.
• Edana Brady, LPN
• Catherine Brennan, CCC-SLP

• Dentist in East Islip, NY
• Providers in East Islip, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.