DR. BORIS L PRAKHINA M.D.
NPI 1609087659
Specialist in Fair Lawn, NJ

Active since May 24, 2007
33-00 BROADWAY, SUITE # 209, FAIR LAWN, NJ 07410(201) 796-7666(201) 796-5570 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Boris L Prakhina M.d. NPPES

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

DR. BORIS L PRAKHINA M.D. (NPI 1609087659) is an individual specialist in Fair Lawn, New Jersey, licensed in New Jersey (MA068923) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609087659
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. BORIS L PRAKHINACredential: M.D.
Location Address33-00 BROADWAY, SUITE # 209Fair Lawn, NJ 07410-4617
Mailing Address33-00 Broadway, Suite # 209Fair Lawn, NJ 07410-4617 · (201) 796-7666 · Fax (201) 796-5570
Fax(201) 796-5570
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 10, 2012
NPI 1609087659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA068923
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
33-00 BROADWAY, Fair Lawn, NJ 07410

Other Identifiers 3

Medicaid7979100NJ
Medicare UPING97801NJ
Medicare ID-Type Unspecified088012NJ

Other Providers at the Same Location NPPES 12

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

Physical Therapist
33-00 BROADWAY
FAIR LAWN, NJ 07410
Dentist (General Practice)
33-00 BROADWAY, SUITE 206
FAIR LAWN, NJ 07410
Specialist
33-00 BROADWAY, SUITE # 209
FAIR LAWN, NJ 07410
Local Education Agency (LEA)
33-00 BROADWAY, SUITE 3
FAIRLAWN, NJ 07410
Speech-Language Pathologist
33-00 BROADWAY
FAIRLAWN, NJ 07410
Obstetrics & Gynecology (Reproductive Endocrinology)
33-00 BROADWAY, SUITE 300
FAIR LAWN, NJ 07410
Local Education Agency (LEA)
33-00 BROADWAY
FAIRLAWN, NJ 07410
Obstetrics & Gynecology
33-00 BROADWAY, SUITE 204
FAIR LAWN, NJ 07410

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 Boris Prakhina's NPI number?

The NPI number for Boris Prakhina is 1609087659. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Boris Prakhina located?

Boris Prakhina practices at 33-00 Broadway Suite # 209, Fair Lawn, NJ 07410. The listed phone number is (201) 796-7666.

What is Boris Prakhina's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Boris Prakhina was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.