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BORIS BOBYR NP IN ADULT HEALTH PC
NPI 1093281735
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since October 20, 2018
2769 CONEY ISLAND AVE STE 2, BROOKLYN, NY 11235(718) 682-5250(208) 264-4112 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Feb 19, 2022, Oct 20, 2018 (3 updates tracked since 2018).

About Boris Bobyr Np In Adult Health Pc NPPES

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

BORIS BOBYR NP IN ADULT HEALTH PC (NPI 1093281735), doing business as Shore Parkway Wellness, is a healthcare organization registered as an adult health in Brooklyn, New York and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Staten Island and lists Boris M Bobyr, Np, as its authorized official.

NPPES Registry Identity

NPI1093281735
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameBORIS BOBYR NP IN ADULT HEALTH PC
Location Address2769 CONEY ISLAND AVE STE 2Brooklyn, NY 11235-5051
Mailing Address44 Fern AveStaten Island, NY 10308-2226 · (718) 682-5250 · Fax (208) 264-4112
Phone(718) 682-5250
Fax(208) 264-4112
Organization SubpartNo
Authorized OfficialBoris M BobyrNp · (718) 682-5250
Enumeration DateOctober 20, 2018
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1093281735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
2769 CONEY ISLAND AVE STE 2, Brooklyn, NY 11235
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Other Names 1

Doing Business AsShore Parkway Wellness

Secondary Practice Location 1

Location 12627 Hylan Blvd Ste C4Staten Island, NY 10306-4344 · Phone (718) 682-5250 · Fax (208) 264-4112

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boris Bobyr Np In Adult Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boris Bobyr Np In Adult Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Bobyr, NP
Nurse Practitioner
NPI 1578659116
2769 CONEY ISLAND AVE STE 2
Brooklyn, NY 11235
(718) 682-5250
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Boris Bobyr Np In Adult Health PC's NPI number?

The NPI number for Boris Bobyr Np In Adult Health PC is 1093281735. It was assigned to this organization in the NPPES registry on October 20, 2018. The provider is doing business as Shore Parkway Wellness.

Where is Boris Bobyr Np In Adult Health PC located?

Boris Bobyr Np In Adult Health PC is located at 2769 Coney Island Ave Ste 2, Brooklyn, NY 11235. The listed phone number is (718) 682-5250.

What is Boris Bobyr Np In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Boris Bobyr Np In Adult Health PC enrolled in Medicare?

Yes. Boris Bobyr Np In Adult Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boris Bobyr Np In Adult Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Boris Bobyr Np In Adult Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boris Bobyr Np In Adult Health PC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.