DR. KEVIN MICHAEL BOEHM MD, PHD
NPI 1184373334
General Practice in New York, NY

Q: What is Kevin Boehm's NPI number?

The NPI number for Kevin Boehm is 1184373334. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Kevin Boehm's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Boehm was last updated on December 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2022

1275 YORK AVE, NEW YORK, NY 10065(212) 639-5730 Get Directions Write a Review

NPPES record last updated: December 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2023, Aug 23, 2022 (2 updates tracked since 2022).

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About Dr. Kevin Michael Boehm Md, Phd NPPES

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

DR. KEVIN MICHAEL BOEHM MD, PHD (NPI 1184373334) is an individual general practice provider in New York, New York, licensed in New York (327230) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1184373334

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KEVIN MICHAEL BOEHMCredential: MD, PHD

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address323 E 61st St # 321gNew York, NY 10065-8204 · (646) 608-7556

Phone(212) 639-5730

Sole ProprietorNo

Enumeration DateMarch 23, 2022

Last NPPES UpdateDecember 31, 20232 updates tracked since enumeration

NPPES CertifiedDecember 31, 2023

✔ NPI 1184373334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 327230

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1275 YORK AVE, New York, NY 10065

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