Genevieve Boivin, D.M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

059087-1 Issued in NY

Practice address

23 Bond St Ste 8
Great Neck, NY 11021-2025

Phone

(516) 482-0329

Fax

(516) 482-0401

NPI assigned

Jul 6, 2013

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: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gboivin706542@nychhc.direct-ci.com

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.

• Rodney Rastegar DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Garden City, NY
  • NPI 1508195975
  NPD (past)

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1851732895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W 37TH ST APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182117",
            "telephone_number": "347-476-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BOND ST STE 8",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212025",
            "telephone_number": "516-482-0329",
            "fax_number": "516-482-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Franklin Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115305760",
            "country_code": "US",
            "telephone_number": "516-741-4415",
            "fax_number": "516-741-4417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOIVIN",
        "first_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "059087-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodian Dermatology Group, P.C
• Adam Ben Bodian, MD
• Body Movement Physiotherapy P.C
• Amy Bogatch
• Lauren R Boglioli, MD FACC FACP FCCP
• Danielle Bokhour
• Sri Valli Bolla, DPT
• David Bolocboloc, PT, DPT
• Olivia Marie Bologna
• Rhonda Lyssa Boltax

• Oral & Maxillofacial Surgery (D.M.D.) in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.