BORIS NIKOLIC


Address: 30 Locust St, Northampton, MA 01060-2052
Phone: 4135822554

BORIS NIKOLIC (NPI# 1407869241) 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) 1407869241
Entity Type Individual
Full Name BORIS NIKOLIC
Credential M.D.
Practice Address 30 Locust St
Northampton
MA 01060-2052
Mailing Address 30 Locust St
Northampton
MA 01060
Practice Telephone 4135822554
Practice Fax Number 4135824779
Mailing Telephone 4135822554
Mailing Fax Number 4135824779
Enumeration Date 2006-08-14
Last Update Date 2019-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
233982 MA Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
233982 MA Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
233982 MA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
233982 MA Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
233982 MA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD429236 PA Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
233982 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110072175A 05

Office Location

Street Address 30 LOCUST ST
City NORTHAMPTON
State MA
Zip Code 01060-2052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518967991 Gretchen E Loebel Obstetrics & Gynecology 30 Locust St, Northampton, MA 01060 2005-07-28
1962019117 Anacelis Flecha Nurse Practitioner 30 Locust St, Northampton, MA 01060-2093 2020-09-30
1790304095 Lauren Jacqueline Slebodnick Physician Assistant 30 Locust St, Northampton, MA 01060-2052 2020-04-16
1831722677 Kristen L Hinchey Physician Assistant 30 Locust St, Northampton, MA 01060-2052 2020-02-20
1972071132 Anne Evelyn Messier Registered Nurse 30 Locust St, Northampton, MA 01060-2093 2018-11-06
1083181242 Dale Allen Thompson Social Worker 30 Locust St, Northampton, MA 01060-2093 2018-10-25
1578048757 Alexandra Penzias Clinical Nurse Specialist 30 Locust St, Northampton, MA 01060-2052 2018-10-03
1023591211 Katherine Mary Jaycox Social Worker 30 Locust St, Northampton, MA 01060-2052 2018-09-13
1689154825 Patrick Ryan Fugler Pharmacist 30 Locust St, Northampton, MA 01060-2052 2018-08-17
1104329739 Devon Charlotte Riley Midwife 30 Locust St, Northampton, MA 01060-2052 2018-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942869318 Stephanie Jordan Counselor 16 Center St Ste 517, Northampton, MA 01060 2019-06-10
1659853828 James Drisko Social Worker 159 Crescent St, Northampton, MA 01060 2018-09-04
1063994416 Nancy P Doby Social Worker 84 Conz Street, Northampton, MA 01060 2018-09-02
1356821144 Kathleen Ann Goodwin-boyd Social Worker Northampton High School, 380 Elm Street, Northampton, MA 01060 2018-08-21
1457847048 Kathryn Karusaitis Basham Social Worker 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 2018-07-06
1700392289 Angel Marie Kennedy Behavioral Analyst 351 Pleasant St Ste B126, Northampton, MA 01060 2017-12-20
1013437508 Ricky Jermaine Logan Counselor 129 North King Street, Northampton, MA 01060 2017-06-26
1962858886 Alicia Simoni Social Worker 25 Main St Ste 445, Northampton, MA 01060 2016-05-10
1134589708 James Edmonstone Clinic/Center 78 Mainst., Suite 404, Northampton, MA 01060 2016-02-25
1114395639 Danielle Baker Speech-Language Pathologist 228 King St Ste 2, Northampton, MA 01060 2015-09-15
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184247355 Rastogi Md LLC Radiology 234 Littleton Rd Ste 2h, Westford, MA 01886-3530 2020-05-22
1649764978 Melissa Sampson Radiology 201 Sylvia St, Arlington, MA 02476-7008 2018-06-20
1598216921 S. Lowell Kahn Md PC Radiology 86 Ashley Ave, West Springfield, MA 01089-1302 2016-10-20
1396191482 Fresenius Vascular Care Boston LLC Radiology 130 Needham St, Newton, MA 02464-1506 2016-05-09
1528407467 Amar C Gupta Radiology 55 Fruit St # 290, Boston, MA 02114-2621 2013-06-24
1003083163 Gregg Andrew Franco Radiology 5 University Ln, Manchester By The Sea, MA 01944-1632 2008-05-08
1942761127 Olumide Ayodeji Olulade Radiology 75 Francis St, Boston, MA 02115-6106 2019-03-28
1265997480 Emalyn Phillips Johnson Radiology 300 Longwood Ave, Boston, MA 02115-5724 2019-02-01
1841649019 Spencer Degerstedt Radiology 330 Brookline Ave, Boston, MA 02215-5400 2016-06-08
1962856336 Fresenius Vascular Care North Andover LLC Radiology 203 Turnpike St, Suite 125, North Andover, MA 01845-5042 2016-04-21
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Competitor

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City NORTHAMPTON
Zip Code 01060

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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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