Robert I Boorstein DO PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

RB007073 Issued in MI

Legal business name

ROBERT I BOORSTEIN DO PC

Practice address

25500 Meadowbrook Rd
Suite 208
Novi, MI 48375-1878

Phone

(248) 478-7733

Fax

(248) 478-3533

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert I Boorstein

Title

President

Phone

(248) 478-7733

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advance Surgical Associat Doing business as

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1891887675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 208",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 208",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I BOORSTEIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "BOORSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-478-7733",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "RB007073",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "MR011373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Surgical Associat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail L Robbins
• Charmayne Robbins
• Janese Camille Roberson
• Shavonne Roberson
• Robert G. Peterson, D.C., P.C.
• Robert K. Brateman, MD,PC
• Robert M Rybicki DDS, PC
• Jamie Roberts
• Katherine Roberts
• Le'Naeccha Roberts

• Surgery Physician in Novi, MI
• Providers in Novi, MI by specialty
• Surgery Physician in Michigan

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