Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ADLY ZEKRY BOULOS DDS
NPI 1457333130
Dentist in Brooklyn, NY

Q: What is Adly Boulos's NPI number?

The NPI number for Adly Boulos is 1457333130. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Adly Boulos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Adly Boulos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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 November 17, 2005PECOS Enrolled

3123 CONEY ISLAND AVE, BROOKLYN, NY 11235(718) 646-4200(718) 646-4201 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Adly Zekry Boulos Dds NPPES

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

DR. ADLY ZEKRY BOULOS DDS (NPI 1457333130) is an individual dentist in Brooklyn, New York, licensed in New York (034547) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457333130

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ADLY ZEKRY BOULOSCredential: DDS

Location Address3123 CONEY ISLAND AVEBrooklyn, NY 11235-6468

Mailing Address3123 Coney Island AveBrooklyn, NY 11235-6468 · (718) 646-4200 · Fax (718) 646-4201

Phone(718) 646-4200

Fax(718) 646-4201

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1457333130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 034547

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3123 CONEY ISLAND AVE, Brooklyn, NY 11235

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Other Identifiers 1

Medicaid00460444NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adly Zekry Boulos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Adly Boulos's NPI number?

The NPI number for Adly Boulos is 1457333130. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Adly Boulos located?

Adly Boulos practices at 3123 Coney Island Ave, Brooklyn, NY 11235. The listed phone number is (718) 646-4200.

What is Adly Boulos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Adly Boulos enrolled in Medicare?

Yes. Adly Boulos is registered in the Medicare PECOS enrollment system.

What insurance does Adly Boulos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Adly Boulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adly Boulos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.