Individual provider Active NPI

Dana Katherine Bozek, CRNP

  • Family Nurse Practitioner
  • Trevose, PA
National Provider Identifier
1861954067
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020153 Issued in PA
Practice address
4829 E Street Rd
Trevose, PA 19053-6647
Phone
(215) 364-5800
NPI assigned
Apr 5, 2019
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020153 PA Primary

Addresses

Primary practice location

4829 E Street Rd
Trevose, PA 19053-6647

Mailing address

4829 Street Road
Trevose, PA 19053
Phone (215) 364-5800

Other practice location 1

671 Newtown Yardley Rd
Newtown, PA 18940-1716
Phone (215) 968-5800

Other practice location 2

1690 Big Oak Rd
Yardley, PA 19067-6421
Phone (215) 493-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP020153PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margiotti & Kroll Pediatrics, P.C. PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861954067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 STREET ROAD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-364-5800",
            "fax_number": "215-364-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Newtown Yardley Rd",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401716",
            "country_code": "US",
            "telephone_number": "215-968-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 Big Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190676421",
            "country_code": "US",
            "telephone_number": "215-493-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZEK",
        "first_name": "DANA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.