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Contact Information

JOSEPH P BOGLIA, MD
200 BELLE TERRE ROAD
STE 110
PORT JEFFERSON, NY11777-1928
 Phone: 631-476-1010
 Fax: 631-642-0105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH P BOGLIA · (Male)

NPI # 1467464297
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 01/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 219312
  • NY Other 7293637 AETNA
  • NY Other 7X2132 EMPIRE BCBS
  • NY Other PRV0004554 MONTEFIORE
  • NY Other P00161349 RAILROAD MEDICARE
  • NY Other 2120125 VYTRA
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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