KAITLIN BOEHM DO NPI 1033573522

NPI Information

NPI: 1033573522
Provider Name: KAITLIN BOEHM, DO
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
259 1ST ST
MINEOLA, NY
ZIP 11501
Phone: (516) 663-8766
Get Directions

Kaitlin Boehm, DO is a pediatric emergency medicine pediatrics in Mineola, NY. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kaitlin Boehm, DO NPI is 1033573522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

259 1ST ST
MINEOLA, NY
ZIP 11501-957
Phone: (516) 663-8766

The NPI 1033573522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	297765	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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