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

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: July 26, 2026.

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

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.

Other Providers at the Same Location NPPES 2

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

VALERI I KAZAKOV MD
Internal Medicine
2190 BOSTON RD, STE 1N
BRONX, NY 10462
Bronx County (718) 863-8663
LORI-ANN PALAZZO MHC PC
Counselor (Mental Health)
2190 BOSTON RD
BRONX, NY 10462
Bronx County (718) 892-0002

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.

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 with the weekly NPPES data releases published by CMS.