Boulevard Surgical Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

700326OR Issued in NY

Legal business name

BOULEVARD SURGICAL CENTER, INC

Practice address

46-04 31St Avenue
Long Island City, NY 11103-1842

Phone

(718) 545-5050

Fax

(718) 545-5052

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dror Rosenfeld, MD

Title

Administrator

Phone

(718) 545-5050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1922033836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-04 31ST AVENUE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-545-5050",
            "fax_number": "718-545-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-04 31ST AVENUE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-545-5050",
            "fax_number": "718-545-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "DROR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-545-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "700326OR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Booker, CASAC-T
• Inger Melissa Borgen-Rovitz
• Boro Medical, P.C.
• Mary Pokuah Bosompem, R.N.
• Natalia Estefania Botero, R.D.
• Kenna Bouvet, LAC
• Elishah Bowman, RN
• Bonnie Boyce
• Cristina Goncalves Boylan
• Helen Boynowsky, LCSW

• Ambulatory Surgical Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.