DR. NICHOLAS BOULOS (NPI# 1023210887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023210887 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS BOULOS |
| Credential | MD |
| Practice Address |
934 Westbury Rd Westbury NY 11590-5844 |
| Practice Telephone | 5163331471 |
| Mailing Telephone | 5163331471 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 159549 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
934 WESTBURY RD |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023462686 | Raymond Wong | Internal Medicine | 574 Cross St, Westbury, NY 11590-3346 | 2016-04-20 |
| 1841572096 | Long Island Medical Practice LLC | Internal Medicine | 41 Greentree Cir, Westbury, NY 11590-1510 | 2011-09-14 |
| 1467686642 | Salud Reblando | Internal Medicine | 821 Regent Dr, Westbury, NY 11590-5438 | 2009-05-04 |
| 1215175666 | Seema D Rai | Internal Medicine | 360 Maple Ave, #10746, Westbury, NY 11590 | 2009-01-22 |
| 1568585263 | Julie Christine Jerabek | Internal Medicine | 295 Fulton St, Westbury, NY 11590-2125 | 2007-04-09 |
| 1265550974 | Ronald Bruce Menzin | Internal Medicine | 14 Polo Ln, Westbury, NY 11590-6207 | 2007-03-27 |
| 1992829824 | Atm Yousuf Physician PC | Internal Medicine | 862 Westbury Rd, Westbury, NY 11590-5844 | 2007-03-17 |
| 1619008042 | Tishe Veli Dalipi | Internal Medicine | 130 Post Ave Apt 310, Westbury, NY 11590-3286 | 2007-03-08 |
| 1013070176 | Joelle Vital | Internal Medicine | 320 Post Ave Ste 102, Westbury, NY 11590-2258 | 2006-12-19 |
| 1790861276 | Physician Health Care PC | Internal Medicine | 265 Post Avenue, Suite 108, Westbury, NY 11590-2233 | 2006-10-27 |
| Find all providers in WESTBURY | ||||
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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.