Alexandra M Bosch

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

335465-01 Issued in NY

Practice address

7 Birchwood Dr
Port Jefferson Station, NY 11776-3517

Phone

(631) 645-4276

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1942879911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BIRCHWOOD DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763517",
            "telephone_number": "631-645-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BIRCHWOOD DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763517",
            "telephone_number": "631-645-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335465-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory N. Bonasera, DC
• Katherine Ariel Bond, LPN
• Eileen Bordt, LPN
• Katie Melissa Born, M.A. CCC-CLP
• Varvara Boryushkina, MD
• Sarah Boujida, PA
• Krista Bourne
• Kerri A Bove, SPECIAL EDUCATION TE
• John J Bowman, PH.D.
• Erin Nicole Brady

• Licensed Practical Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.