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

Maksim Boguslavskiy, DO

Individual provider Surgery Physician · NPI 1821520107

Maksim Boguslavskiy, DO is a General Surgery in East Stroudsburg, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Pennsylvania.

Years since qualifying
9
Licensed in
MN, PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 Plaza Ct
East Stroudsburg, PA 18301-8262
Phone: (570) 426-2301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 24 Hospital Ave, Danbury, CT 06810-6099 — (203) 739-6013
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence OS023953 (PA)
Surgery Physician Taxonomy 208600000X · Licence 73584 (MN)

Record details

NPI number1821520107
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address2100 Mack Blvd Fl 4, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in East Stroudsburg