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MR. JOHN BOSWORTH RPA
NPI 1780814947
Physician Assistant - Medical in Astoria, NY

Active since July 22, 2009PECOS Enrolled
4904 19TH AVE, ASTORIA, NY 11105(718) 777-3494(718) 777-3645 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. John Bosworth Rpa NPPES

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

MR. JOHN BOSWORTH RPA (NPI 1780814947) is an individual medical provider in Astoria, New York, licensed in New York (005532) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780814947
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN BOSWORTHCredential: RPA
Location Address4904 19TH AVEAstoria, NY 11105-1002
Mailing Address4904 19th AveAstoria, NY 11105-1002 · (718) 777-3494 · Fax (718) 777-3645
Phone(718) 777-3494
Fax(718) 777-3645
Sole ProprietorYes
Enumeration DateJuly 22, 2009
✔ NPI 1780814947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 005532
4904 19TH AVE, Astoria, NY 11105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Bosworth Rpa 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.

Other Providers at the Same Location NPPES 20

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

DR. ACHIM HUGGINS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MR. SAIDU JIMOH RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JORGE VILLALOBOS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. BRENDA HARRIS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. TREVOR PARKS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. ADRIANA VIVES M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. FRANTZ MEDARD M.D
Family Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
SCOTT PARKS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494

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 John Bosworth's NPI number?

The NPI number for John Bosworth is 1780814947. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is John Bosworth located?

John Bosworth practices at 4904 19th Ave, Astoria, NY 11105. The listed phone number is (718) 777-3494.

What is John Bosworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Bosworth enrolled in Medicare?

Yes. John Bosworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Bosworth was last updated on July 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.