Active NPI
Jonathan A. Boxer, M.D.
- Internal Medicine Physician
- Huntington, NY
National Provider Identifier
1942313077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 225275-1
- Practice address
- 325 Park Ave
Huntington, NY 11743-2779 - Phone
- (631) 367-5029
- Fax
- (631) 351-1890
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 225275-1 | NY | Primary |
Addresses
Primary practice location
325 Park Ave
Huntington, NY 11743-2779
Mailing address
325 Park Ave
Huntington, NY 11743-2779
Phone (631) 367-5029
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02582465 | Medicaid | NY | |
| 2516170 | Other | NY | GHI |
| P3344555 | Other | NY | OXFORD |
| 0361S1 | Other | NY | BLUE CROSS/ BLUE SHIELD |
| 3C6484 | Other | NY | HEALTHNET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
325 Park Ave
Huntington, NY 11743-2779
Phone (631) 659-4400
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225275-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Internal Medicine | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Internal Medicine | Current | Accepting new patients |
Locations
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 544-3400
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peconic Bay Homehealth Services
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- Home Health Agency
- Syosset, NY
- NPI 1841629698
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Northport, NY
- NPI 1356494637
-
- Home Health Agency
- Northport, NY
- NPI 1770580516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1942313077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-367-5029",
"fax_number": "631-351-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-367-5029",
"fax_number": "631-351-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOXER",
"first_name": "JONATHAN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "225275-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02582465",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2516170",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3344555",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "0361S1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C6484",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.