KEVIN EMERY BOCZAR MD
NPI 1013641612
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 11, 2022
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-2884 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Emery Boczar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN EMERY BOCZAR MD (NPI 1013641612) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD476397) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1013641612
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN EMERY BOCZARCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 410-6144
Sole ProprietorNo
Enumeration DateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
NPI 1013641612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MD476397
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Boczar's NPI number?

The NPI number for Kevin Boczar is 1013641612. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Kevin Boczar located?

Kevin Boczar practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2884.

What is Kevin Boczar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kevin Boczar was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.