DR. BORIS L PRAKHINA


Address: 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617
Phone: 2017967666

DR. BORIS L PRAKHINA (NPI# 1609087659) 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) 1609087659
Entity Type Individual
Full Name DR. BORIS L PRAKHINA
Credential M.D.
Practice Address 33-00 Broadway
Suite # 209
Fair Lawn
NJ 07410-4617
Practice Telephone 2017967666
Practice Fax Number 2017965570
Mailing Telephone 2017967666
Mailing Fax Number 2017965570
Enumeration Date 2007-05-24
Last Update Date 2012-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA068923 NJ Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7979100 05

Office Location

Street Address 33-00 BROADWAY
SUITE # 209
City FAIR LAWN
State NJ
Zip Code 07410-4617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326156480 Douglas S Rabin Obstetrics & Gynecology 33-00 Broadway, Suite 300, Fair Lawn, NJ 07410-4617 2006-08-29
1023281961 Marc M Nussman Dentist 33-00 Broadway, Suite 206, Fair Lawn, NJ 07410 2008-04-11
1609061977 Jenny Salas Shatzel Occupational Therapist 33-00 Broadway, Fair Lawn, NJ 07410-4617 2007-09-10
1871784165 Sher Institute for Reproductive Medicine New Jersey Pa Obstetrics & Gynecology 33-00 Broadway, #303, Fair Lawn, NJ 07410-4617 2007-08-05
1720129810 Mahfouz M Tadros Surgery 33-00 Broadway, Suite 204, Fair Lawn, NJ 07410-4617 2007-02-09
1538232970 Barbara Melnikoff Obstetrics & Gynecology 33-00 Broadway, Suite 204, Fair Lawn, NJ 07410-4617 2006-11-15
1003991852 Michael Christopher Sciacca Physical Therapist 33-00 Broadway, Fair Lawn, NJ 07410-4617 2006-10-26
1033227004 Institute for Diagnosis & Treatment of Pain Specialist 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669093316 Sheila Robinson-kiss LLC Counselor 0-178 Tunbridge Road, Fair Lawn, NJ 07410 2020-05-05
1750902813 Pine Group LLC Point of Service 0-39 Pine Ave, Fair Lawn, NJ 07410 2020-04-29
1073133153 Maria Jidriska Myers Nurse Practitioner 23-00 Nj-208, Fair Lawn, NJ 07410 2020-04-20
1508350869 Jill Marie Deperi Counselor 22-08 Route 208 South, Fair Lawn, NJ 07410 2018-06-20
1952895419 Laurel Olson Counselor Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 2018-06-19
1851896583 Janelle Frazier Social Worker Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 2018-03-26
1457876260 Daniella Suric Behavioral Analyst 2-08 Morlot Avenue, Fair Lawn, NJ 07410 2017-08-14
1912453549 Marcia Gurfield Social Worker 33-03 Ryan Road, Fair Lawn, NJ 07410 2016-09-01
1417330721 The Arc of Bergen and Passaic Counties, Inc Day Training, Developmentally Disabled Services 17-03a Broadway, Fair Lawn, NJ 07410 2015-07-06
1275914228 Julius Iratagotia Occupational Therapist 0-53 26th St, Fair Lawn, NJ 07410 2015-06-16
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073992905 Errol Seltzer Specialist 39-23 Dauria Dr, Fair Lawn, NJ 07410-5143 2015-05-26
1639431174 Bella Morrow Specialist 13-05 Saint Anne St, Fair Lawn, NJ 07410-2035 2012-06-11
1679870083 Mike Miron, M.d.,p.c. Specialist 40-04 Kilada Ct, Fair Lawn, NJ 07410-5342 2011-02-21
1861717324 Alisha C Romano Specialist 31-10 Nicholson Dr, Fair Lawn, NJ 07410-4145 2010-03-28
1407972755 Clinical Psychiatry Consultants PC Specialist 13-14 6th St, Fair Lawn, NJ 07410-1119 2007-03-21
1851472690 Steven I. Becker Specialist 33-00 Broadway Ste 204, Fair Lawn, NJ 07410-4603 2006-10-18
1053421032 Merab Joseph Specialist 24-07 Broadway, Fair Lawn, NJ 07410-3053 2006-08-30
1053344077 Ramin Barry Cocoziello Specialist 12-15 Broadway, Suite E, Fair Lawn, NJ 07410-2031 2006-07-10
1578596540 Neurology Pain Treatment, P.C. Specialist 24-20 Broadway, Fair Lawn, NJ 07410-3057 2006-07-10
1356399943 Rinko Orthopedic Appliances, Inc. Specialist 25-09 Broadway, Fair Lawn, NJ 07410-3813 2006-05-05
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Competitor

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City FAIR LAWN
Zip Code 07410

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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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