Bold & Boss Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BOLD & BOSS INC.

Doing business as

Bold & Boss Inc.

Practice address

51 Fallon Ave
Elmont, NY 11003-3605

Phone

(347) 742-6811

Fax

(347) 521-6647

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie S. Ralliford

Title

President

Phone

(347) 742-6811

Specialties & licenses 1

Addresses

Other names 1

• Bold & Boss Inc. Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1932842846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FALLON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033605",
            "telephone_number": "347-742-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FALLON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033605",
            "telephone_number": "347-742-6811",
            "fax_number": "347-521-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD & BOSS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "RALLIFORD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-742-6811"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "347-521-6647",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "51 Fallon Ave",
            "city": "Elmont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110033605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bold & Boss Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Elmont, NY
• Providers in Elmont, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.