Individual provider Active NPI

Parvaneh Borojeni, M.D.

  • Pediatric Adolescent Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1922076397
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
1550961 Issued in NY
Practice address
1 Webster Ave
Suite 302
Poughkeepsie, NY 12601-1361
Phone
(845) 483-5852
Fax
(845) 483-5413
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 1550961 NY Primary

Addresses

Primary practice location

1 Webster Ave
Suite 302
Poughkeepsie, NY 12601-1361

Mailing address

1 Webster Ave
Suite 302
Poughkeepsie, NY 12601-1361
Phone (845) 483-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130001896 NY Practitioner - Pediatric Medicine 0547638207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1550961NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP Adolescent Medicine CurrentSince Jul 28, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jul 28, 2024 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 111
Fishkill, NY 12524
Phone (845) 896-4505

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

1 Webster Ave
Ste 302
Poughkeepsie, NY 12601
Phone (845) 454-4200

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1922076397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE",
            "address_2": "SUITE 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011361",
            "telephone_number": "845-483-5852",
            "fax_number": "845-483-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE",
            "address_2": "SUITE 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011361",
            "telephone_number": "845-483-5852",
            "fax_number": "845-483-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROJENI",
        "first_name": "PARVANEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "1550961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.