Active NPI
Alexandra Georgiana Boc, MD
- Student in an Organized Health Care Education/Training Program
- Darby, PA
National Provider Identifier
1891540209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1500 Lansdowne Avenue
Darby, PA 19023 - Phone
- (610) 237-4000
- NPI assigned
- Apr 19, 2024
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1500 Lansdowne Avenue
Darby, PA 19023
Mailing address
125 Beth Drive
Philadelphia, PA 19115
Phone (267) 402-8401
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1891540209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BETH DRIVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "267-402-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVENUE",
"city": "DARBY",
"state": "PA",
"postal_code": "19023",
"telephone_number": "610-237-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOC",
"first_name": "ALEXANDRA",
"middle_name": "GEORGIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-19",
"last_updated": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.