Active NPI
Stanley Boczko, MD PC
- Urology Physician
- New York, NY
National Provider Identifier
1942497607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 120948-1
- Legal business name
- STANLEY BOCZKO, MD PC
- Practice address
- 23 E 79TH St
New York, NY 10075-0182 - Phone
- (212) 628-1800
- Fax
- (212) 628-1802
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Migdalia Santiago
- Title
- Office Manager
- Phone
- (212) 628-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 120948-1 | NY | Primary |
Addresses
Primary practice location
23 E 79TH St
New York, NY 10075-0182
Mailing address
23 E 79TH St
New York, NY 10075-0182
Phone (212) 628-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00366303 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1180 Morris Park Ave
Ste 3
Bronx, NY 10461
Phone (347) 498-2410
3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700
1234 Central Park Ave
Ste 3A
Yonkers, NY 10704
Phone (914) 961-7212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- New York, NY
- NPI 1497768717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1942497607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750182",
"telephone_number": "212-628-1800",
"fax_number": "212-628-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750182",
"telephone_number": "212-628-1800",
"fax_number": "212-628-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY BOCZKO, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "MIGDALIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "212-628-1800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NY",
"license": "120948-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00366303",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.