Active NPI
Marina Boise, PA
- Physician Assistant
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020915
- Practice address
- 5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057-9249 - Phone
- (315) 472-7504
- Fax
- (315) 634-4677
- NPI assigned
- Feb 20, 2007
- Last updated
- May 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020915 | NY | Primary |
| Medical Physician Assistant | 363AM0700X | 0110010350 | VA |
Addresses
Primary practice location
5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057-9249
Mailing address
5370 Sedalia Cir
Syracuse, NY 13224
Phone (216) 577-8540
Other practice location 1
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020915 | Other | NY | NYS LICENSE |
Other names 1
- Marina Rhodes-Boise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
401 N 11TH St
Richmond, VA 23219-1901
Phone (804) 828-9000
401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 628-2374
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.56 of 100
- Quality
- 71.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18497 | CA | MD | Acupuncturist |
| 0110010350 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current | Accepting new patients | |
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Chagrin Valley Anesthesia, LLC | Past | Accepting new patients |
Locations
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- mboise130178@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
- Ambulatory Surgical Clinic/Center
- Beachwood, OH
- NPI 1528002490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1932244969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 SEDALIA CIR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13224",
"telephone_number": "216-577-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY STE 700",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579249",
"telephone_number": "315-472-7504",
"fax_number": "315-634-4677"
}
],
"practiceLocations": [
{
"address_1": "1001 E Leigh St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985004",
"country_code": "US",
"telephone_number": "804-828-7999",
"fax_number": "804-828-5941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOISE",
"first_name": "MARINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020915",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110010350",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "020915",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARINA",
"last_name": "RHODES-BOISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.