Joseh P Boglia MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

JOSEH P BOGLIA MD PC

Practice address

200 Belle Terre Rd
Suite 110
Port Jefferson, NY 11777-1928

Phone

(631) 473-1010

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Peter Boglia, MD

Title

President

Phone

(631) 476-1010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1861728073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE 110",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "address_2": "SUITE 110",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-473-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEH P BOGLIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "BOGLIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-476-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeena Elizabeth John
• Jency Johnikutty, PHARM-D
• Kerry Lynn Johnson, PA
• Cassandra Jones
• Lindsey Jones, MD
• Joseph M. Gagliano, LCSW, P.C. (Avatar Counseling Innovations)
• Jewel Joseph
• Tina Joseph, M.D.
• Heer H Joshi, PA-C
• Radha Joshi

• Nephrology Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.