BOSTON ROAD MEDICAL PRACTICE PC
NPI 1306816285
Internal Medicine in Bronx, NY

Q: What is Boston Road Medical Practice PC's NPI number?

The NPI number for Boston Road Medical Practice PC is 1306816285. It was assigned to this organization in the NPPES registry on January 24, 2006.

Q: What is Boston Road Medical Practice PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 24, 2006CLIA 33D1008791 · Microscopy

2190 BOSTON RD, SUITE 1N, BRONX, NY 10462(718) 863-8663(718) 863-8261 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Boston Road Medical Practice Pc NPPES

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

BOSTON ROAD MEDICAL PRACTICE PC (NPI 1306816285) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through January 27, 2027 and lists Valeri Kazakov, Owner Of The Medical Practice, as its authorized official.

NPPES Registry Identity

NPI1306816285

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBOSTON ROAD MEDICAL PRACTICE PC

Location Address2190 BOSTON RD, SUITE 1NBronx, NY 10462-1201

Mailing Address31 Amanda LnNew Rochelle, NY 10804-3313 · (718) 863-8621 · Fax (718) 863-8261

Phone(718) 863-8663

Fax(718) 863-8261

Organization SubpartNo

Authorized OfficialValeri KazakovOwner Of The Medical Practice · (718) 863-8663

Enumeration DateJanuary 24, 2006

Last NPPES UpdateSeptember 7, 2010

✔ NPI 1306816285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2190 BOSTON RD, Bronx, NY 10462

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Other Identifiers 2

Medicaid023196NY

Medicare ID-Type UnspecifiedW39261NY

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)

Boston Road Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Boston Road Medical Practice PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Valeri Kazakov, MD

Internal Medicine

NPI 1487633772

2190 BOSTON RD STE 1N
Bronx, NY 10462

(718) 863-8663

✔ PECOS✔ Accepts MedicareSame address

Daniel Gurell, MD

Diagnostic Radiology

NPI 1336164029

1200 WATERS PL SUITE M-108
Bronx, NY 10461

(718) 931-5620

✔ PECOS✔ Accepts Medicare1.7 mi

Mladen Solar, M.D.

Cardiovascular Disease (Cardiology)

NPI 1780677823

116 79TH ST
Brooklyn, NY 11209

(718) 745-4141

✔ PECOS✔ Accepts Medicare18 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1008791

Boston Road Medical Practice PC · Bronx, NY

Active · expires Jan 27, 2027

CLIA Number33D1008791

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2025

Certificate Expiration DateJanuary 27, 2027

Laboratory DirectorValeri I. Kazakov

Laboratory Phone(718) 863-8663

Laboratory LocationBoston Road Medical Practice PC2190 Boston Rd Suite 1N, Bronx, NY 10462

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Boston Road Medical Practice PC's NPI number?

The NPI number for Boston Road Medical Practice PC is 1306816285. It was assigned to this organization in the NPPES registry on January 24, 2006.

Where is Boston Road Medical Practice PC located?

Boston Road Medical Practice PC is located at 2190 Boston Rd Suite 1N, Bronx, NY 10462. The listed phone number is (718) 863-8663.

What is Boston Road Medical Practice PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Boston Road Medical Practice PC enrolled in Medicare?

Yes. Boston Road Medical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Road Medical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Boston Road Medical Practice PC, in Cardiovascular Disease (Cardiology), Diagnostic Radiology and Internal Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boston Road Medical Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1008791) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boston Road Medical Practice PC was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.