Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Boneparth, MD

Individual provider Pediatrics Physician · NPI 1528232394

Alexis Boneparth, MD is a Pediatric Medicine in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2005, 21 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
21
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3959 Broadway
New York, NY 10032-1559
Phone: (212) 305-9304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 247973 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 247973 (NY)
Pediatric Rheumatology Physician Taxonomy 2080P0216X · Licence 25MA09256300 (NJ)

Record details

NPI number1528232394
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2008
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2005 (21 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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