NPIMap

Organization Active NPI

Boev Medical, PLLC

Doing business as Boev Clinic

  • Neurological Surgery Physician
  • Canandaigua, NY
National Provider Identifier
1922503473
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BOEV MEDICAL, PLLC
Doing business as
Boev Clinic
Practice address
183 Parrish Street
Suite #220
Canandaigua, NY 14424
Phone
(585) 342-2638
Fax
(585) 730-7500
NPI assigned
Mar 27, 2018
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BOEV MEDICAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Angel N. Boev, M.D.NPI 1083625008
Title
Owner/ Neurosurgeon
Phone
(585) 342-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Neurological Surgery Physician 207T00000X Primary
Physical Medicine & Rehabilitation Physician 208100000X
Physician Assistant 363A00000X

Addresses

Primary practice location

183 Parrish Street
Suite #220
Canandaigua, NY 14424

Mailing address

1445 Portland Avenue
Suite #309
Rochester, NY 14621
Phone (585) 342-2638

Other names 1

  • Boev Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625003793 NY DME Supplier - Physician - General Practice 9436447463 Practice locations: Canandaigua, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Boev Medical PLLC

Locations

395 West Ave
Ste 1
Canandaigua, NY 14424
Phone (585) 398-2420

395 West St
Ste 1
Canandaigua, NY 14424
Phone (585) 342-2638

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1922503473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVENUE",
            "address_2": "SUITE #309",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-342-2638",
            "fax_number": "585-730-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 PARRISH STREET",
            "address_2": "SUITE #220",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-342-2638",
            "fax_number": "585-730-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEV MEDICAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOEV MEDICAL, PLLC",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "BOEV",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/ NEUROSURGEON",
        "authorized_official_telephone_number": "585-342-2638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boev Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.