Harry N Boltin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

092731 Issued in NY

Practice address

320 Robinson Ave
C/O Orange Radiology Associates, P.C.
Newburgh, NY 12550-3353

Phone

(845) 565-1989

Fax

(845) 863-0072

NPI assigned

Mar 14, 2006

Last updated

Jun 13, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783
  Medicare reassignment NPD
• QHC Upstate Medical, P.C.

  • Urgent Care Clinic/Center
  • Monsey, NY
  • NPI 1982932463
  Medicare reassignment NPD
• Ramapo Imaging Associates, P.C.

  dba Ramapo Imaging Associates of Suffern

  • Diagnostic Radiology Physician
  • Suffern, NY
  • NPI 1932150935
  Medicare reassignment NPD
• MRI Associates of Queens, PC

  • Specialist
  • Forest Hills, NY
  • NPI 1578601662
  NPD (past)
• Ramapo Radiology Mobile P.C.

  • Diagnostic Radiology Physician
  • Suffern, NY
  • NPI 1578514576
  NPD (past)
• Burgess Health Associates LLC

  dba HealthTrac

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • South Hadley, MA
  • NPI 1588799498
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1851369060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HARBOR CV",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109681087",
            "telephone_number": "845-565-1989",
            "fax_number": "845-863-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ROBINSON AVE",
            "address_2": "C/O ORANGE RADIOLOGY ASSOCIATES, P.C.",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503353",
            "telephone_number": "845-565-1989",
            "fax_number": "845-863-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTIN",
        "first_name": "HARRY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "092731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00149904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Blunnie, LMSW
• Bob's Quality Transportation Inc
• Willyum Bobo, PT
• Eileen Gayle Bogursky, M.D.
• Eva Bokor
• Colleen Bordeman, MSED
• Jacqueline R Borgia, RN
• Custodio Ricacho Borgueta, M.D.
• Mark Christian Botti, PHARMD
• Jeffrey Michael Bovee, CASAC-T

• Diagnostic Radiology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.