Dr. Friedrich Boettner, M.D.
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in New York, NY. Individual provider (NPI-1).
Details
- NPI
- 1205945409
- Entity type
- Individual (NPI-1)
- Name
- Dr. Friedrich Boettner
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Oct 1, 2024 to Oct 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 253920 | NY | Yes |
Practice location
535 E 70th StNew York, NY 10021-4872
Phone 212-774-2127 · Fax 212-861-7044
Mailing address
535 E 70th StNew York, NY 10021-4872
Phone 212-774-2127 · Fax 212-774-2286
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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