Boston Road Neighborhood Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185071 Issued in NY

Legal business name

BOSTON ROAD NEIGHBORHOOD MEDICAL CARE PC

Practice address

2542 Boston Rd
Bronx, NY 10467-9004

Phone

(718) 324-2700

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Ian Prescott, M.D.

Title

Owner

Phone

(718) 324-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1962761874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679004",
            "telephone_number": "718-324-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ROAD NEIGHBORHOOD MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-324-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolozi Bostashvili
• Boston Pediatrics PLLC
• Boston Pediatrics, PLLC
• Boston Road Care LLC
• Boston Road Medical Practice PC
• Boston Road Pharmacy Corp.
• Hannah M Boston, LMSW
• Natashia Vanessa Boston, M.S SPECIAL EDUCATIO
• Tonika Boston, LMSW
• Amanda Mary Bosu, LPN

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.