Organization Active NPI

Boaro Consultations Nurse Practitioner in Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Setauket, NY
National Provider Identifier
1992975379
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400809 Issued in NY
Legal business name
BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY PC
Practice address
3771 Nesconset Hwy
Suite 208B
South Setauket, NY 11720-1163
Phone
(516) 721-1976
Fax
(631) 689-2055
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Diane Boaro, FPMHNP-BC
Title
President
Phone
(516) 721-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F400809 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy
Suite 208B
South Setauket, NY 11720-1163

Mailing address

33 Cornell Ave
Smithtown, NY 11787-3403

National Provider Directory

National Provider Directory

Locations

3771 Nesconset Hwy
Ste 208B
South Setauket, NY 11720
Phone (516) 721-1976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1992975379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CORNELL AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208B",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "516-721-1976",
            "fax_number": "631-689-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BOARO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-721-1976",
        "authorized_official_credential": "FPMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.