Active NPIIndividual providerSole proprietor

Dr. Jacob Boris, MD

Pediatrics in Tappan, New York

NPI Number1942417415
Practice location
422 Western Hwy, Tappan, NY 10983-1311
Fax
845-359-3414
Last updated
July 8, 2007

Jacob Boris is a Pediatrics based in Tappan, NY. Jacob Boris practices in Tappan, NY and has the professional credentials of MD. The NPI Number for Jacob Boris is 1942417415 and holds a License No. 088020 (NY). The current practice location address for Jacob Boris is 422 Western Hwy, Tappan, NY 10983-1311 and can be reached out via phone at 845-359-0010 and via fax at 845-359-3414.

Provider Profile Details

NPI Number
1942417415
Provider Name
Jacob Boris
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
422 Western Hwy, Tappan, NY 10983-1311
Phone Number
845-359-0010
Fax Number
845-359-3414
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
422 Western Hwy
Tappan, NY 10983-1311
City
Tappan
Zip
10983-1311
Phone Number
845-359-0010
Fax Number
845-359-3414
Tappan, NY 10983Get directions →

Provider Business Mailing Address Details

Address
11 Morris RD
Tappan, NY 10983-1603
City
Tappan
State
NY
Zip
10983-1603
Phone Number
845-359-6426

License Information

License Number
088020
License State
NY
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jacob Boris, MD?

The NPI number of Dr. Jacob Boris, MD is 1942417415. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacob Boris, MD?

Dr. Jacob Boris, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 088020.

Where does Dr. Jacob Boris, MD practice?

The practice location is 422 Western Hwy, Tappan, NY 10983-1311. The office can be reached at 845-359-0010 (phone) or 845-359-3414 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942417415 directly on the NPPES registry website.

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