KEVIN BOGUE


Address: 1 Penn Plz, 8th Floor, New York, NY 10119-0002
Phone: 6467712206

KEVIN BOGUE (NPI# 1124410303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1 PENN PLZ
8TH FLOOR
City NEW YORK
State NY
Zip Code 10119-0002

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1184231797 Tingting Chen Nurse Practitioner 5618 7th Ave Brooklyn, New York, NY 11220 2020-09-28
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1972118206 Trisha Aloquina Nurse Practitioner 106 East 32nd St, 102, New York, NY 10016 2020-09-14
1437760196 Chelsea Florence Curione Nurse Practitioner 31 Washington Sq W Fl 4, New York, NY 10011-9172 2020-08-14
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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Competitor

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City NEW YORK
Zip Code 10119

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Dataset Information

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.

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