KEVIN BOGUE (NPI# 1124410303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124410303 |
| Entity Type | Individual |
| Full Name | KEVIN BOGUE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1 Penn Plz 8th Floor New York NY 10119-0002 |
| Mailing Address |
225 E 79th St Apt 8d New York NY 10075-0827 |
| Practice Telephone | 6467712206 |
| Practice Fax Number | 8442906670 |
| Mailing Telephone | 9178047966 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307208 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 PENN PLZ 8TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10119-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703342 | Gary Steven Evans | Podiatrist | 1 Penn Plz, Suite 1707, New York, NY 10119-0002 | 2005-07-11 |
| 1215454780 | Lisa Yee | Pharmacist | 1 Penn Plz, New York, NY 10119-0002 | 2017-08-25 |
| 1891215695 | Suja Thomas Eapen | Nurse Practitioner | 1 Penn Plz, New York, NY 10119-0002 | 2017-06-22 |
| 1124554217 | Jessica Lee Meatto | Social Worker | 1 Penn Plz, New York, NY 10119-0002 | 2017-05-10 |
| 1598214405 | Rina Elias | Nurse Practitioner | 1 Penn Plz, 8th Floor, New York, NY 10119-0002 | 2016-10-04 |
| 1154799807 | Nwando Azuka Nzegwu | Nurse Practitioner | 1 Penn Plz, New York, NY 10119-0002 | 2015-09-11 |
| 1821471939 | Jyotika Nayi | Nurse Practitioner | 1 Penn Plz, New York, NY 10119-0002 | 2015-07-07 |
| 1316330905 | Hakyoung Park | Nurse Practitioner | 1 Penn Plz, 8th Floor, New York, NY 10119-0002 | 2015-03-06 |
| 1477961910 | Geraldine Gail Jones | Nurse Practitioner | 1 Penn Plz, 8th Floor, New York, NY 10119-0002 | 2014-07-29 |
| 1477977536 | Idalina Suzanne Afopa | Nurse Practitioner | 1 Penn Plz, Suite 725, New York, NY 10119-0002 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174933352 | Irina Boz | Registered Nurse | One Penn Plaza, Suite 725, New York, NY 10119 | 2014-04-28 |
| 1083955041 | Theodora C Raft | Nurse Practitioner | Optum One Penn Plaza, New York, NY 10119 | 2013-03-14 |
| 1912194358 | Rebeca Clerville Deratus | Nurse Practitioner | 1 Penn Plaza 7th Fl Ste 725, Evercare United Healthcare, New York, NY 10119 | 2007-10-01 |
| 1376759928 | Elizabeth M White | Nurse Practitioner | One Penn Plaza, 8th Floor, New York, NY 10119 | 2007-05-14 |
| 1457566291 | Ella Kats | Nurse Practitioner | Evercare - United Healthcare, 1 Penn Plaza, 7th Fl. Ste.725, New York, NY 10119 | 2007-05-14 |
| 1518007152 | Yonette R Hercules | Physician Assistant | One Penn Plaza, 7th Fl, Suite 725, New York, NY 10119 | 2007-02-06 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1285782367 | Rilande Herard | Physician Assistant | 1 Penn Plaza, 7th Fl, Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1629126719 | Any Itty | Nurse Practitioner | 1 Penn Plaza, 7th Fl. Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1174671267 | Christine Kenny | Nurse Practitioner | One Penn Plaza, 7th Fl, Ste 725, Evercare, New York, NY 10119 | 2007-01-08 |
| Find all providers in zip 10119 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1538779343 | Molly Smith | Nurse Practitioner | 161 Fort Washington, Herbert Irving Pavilion, New York, NY 10032-1003 | 2020-08-06 |
| 1871101360 | Elke Kraus | Nurse Practitioner | 105 E 122nd St Apt 4e, New York, NY 10035-2821 | 2020-07-21 |
| 1942825138 | Barbara Cohen Np LLC | Nurse Practitioner | 16 W 16th St Apt 7ps, New York, NY 10011-6335 | 2020-06-12 |
| 1619590692 | Shaun Sorley | Nurse Practitioner | 12 Stuyvesant Oval Apt 9g, New York, NY 10009-2219 | 2020-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.