SCOTT J BOLEY (NPI# 1134201304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134201304 |
| Entity Type | Individual |
| Full Name | SCOTT J BOLEY |
| Credential | MD |
| Practice Address |
Div. of Pediatric Surgery 3355 Bainbridge Avenue Bronx NY 10467 |
| Mailing Address |
4455 Douglas Ave Apt. 15d Bronx NY 10471-3519 |
| Practice Telephone | 7189207200 |
| Mailing Telephone | 7189207200 |
| Mailing Fax Number | 7185472929 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
070573 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
DIV. OF PEDIATRIC SURGERY 3355 BAINBRIDGE AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952466799 | Mindy Beth Statter | Surgery | 111 East 210th Street, The Children's Hospital At Montefiore, Bronx, NY 10467 | 2006-12-22 |
| 1326107418 | Steven Howard Borenstein | Surgery | 111 East 210th Street, Bronx, NY 10467-2490 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
| 1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
| 1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
| 1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
| 1164691457 | Oliver Hans-josef Hans-josef Muensterer | Surgery | Mfch, Munger Pavillion, Room 321, Valhalla, NY 10595 | 2008-02-21 |
| 1942355698 | Stephen Dolgin | Surgery | Lij Dept of Surgery Pediatric Surgery, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
| 1093875114 | Samuel Soffer | Surgery | Lijmc Dept of Surgery Peds Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1023182649 | Radhakrishman Satheesan | Surgery | 921 49th St, Brooklyn, NY 11219-2923 | 2006-11-17 |
| 1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1164516415 | Gustavo Stringel | Surgery | Administration Building, Valhalla, NY 10595 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.