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MS. KATHLEEN BOCZAR CRNP NPI 1164464798


NPI Information

NPI: 1164464798
Provider Name: MS. KATHLEEN BOCZAR, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1900 N 9TH ST
SUITE 104
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 765-6690
Get Directions

MS. Kathleen Boczar, CRNP is a family nurse practitioner in Philadelphia, PA. MS. Kathleen Boczar, CRNP NPI is 1164464798. 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:

1900 N 9TH ST
SUITE 104
PHILADELPHIA, PA
ZIP 19122-909
Phone: (215) 765-6690
Fax: (215) 765-6694

The NPI 1164464798 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 6/11/2006 and was last updated on 7/14/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilySP000980BPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116605OTHERPENNSYLVANIABRAVO
230027018OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLAN
31590263OTHERPENNSYLVANIABLUE CROSS
40018132210001MEDICAIDPENNSYLVANIA
51487818OTHERPENNSYLVANIAAETNA
62268271000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.