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DANIEL PABAYO BOLOCBOLOC
NPI 1548911506
Nurse Practitioner - Family in Woodside, NY

Active since January 12, 2022PECOS EnrolledAccepts Medicare Assignment
57-18 WOODSIDE AVE, STE 101, 2ND FLOOR, WOODSIDE, NY 11377(347) 527-2257(888) 720-6963 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Pabayo Bolocboloc NPPES

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

DANIEL PABAYO BOLOCBOLOC (NPI 1548911506) is an individual family provider in Woodside, New York, licensed in New York (348662) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2021).

NPPES Registry Identity

NPI1548911506
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL PABAYO BOLOCBOLOC
Location Address57-18 WOODSIDE AVE, STE 101, 2ND FLOORWoodside, NY 11377-3415
Mailing Address36 Mainsail DrPatchogue, NY 11772-3434 · (516) 812-7864
Phone(347) 527-2257
Fax(888) 720-6963
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2021
Enumeration DateJanuary 12, 2022
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1548911506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 348662
57-18 WOODSIDE AVE, Woodside, NY 11377
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Pabayo Bolocboloc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012395312
PECOS Enrollment IDI20220527000138
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
13 services13 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11377 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WILLIAM CHUM MA, LMHC
Counselor (Mental Health)
57-18 WOODSIDE AVE, ST 2-102
WOODSIDE, NY 11377
Queens County (718) 639-3600
DR. RAY CESPEDES MIRANDA MD
Internal Medicine
57-18 WOODSIDE AVE, 2ND FL
WOODSIDE, NY 11377
Queens County (718) 672-7702

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 Daniel Bolocboloc's NPI number?

The NPI number for Daniel Bolocboloc is 1548911506. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Daniel Bolocboloc located?

Daniel Bolocboloc practices at 57-18 Woodside Ave Ste 101, 2nd Floor, Woodside, NY 11377. The listed phone number is (347) 527-2257.

What is Daniel Bolocboloc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Bolocboloc enrolled in Medicare?

Yes. Daniel Bolocboloc is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Bolocboloc was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.