DR. DAVID T BOSS (NPI# 1194877589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194877589 |
| Entity Type | Individual |
| Full Name | DR. DAVID T BOSS |
| Credential | M.D. |
| Practice Address |
425 Jack Martin Blvd Brick NJ 08724-7732 |
| Mailing Address |
2801 Colonial Dr Wall Township NJ 07719-9564 |
| Practice Telephone | 7328364345 |
| Mailing Telephone | 7323596591 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
72352 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558614024 | David Boss | Physical Therapist | 6625 W Lincoln Hwy Lowr Level, Crown Point, IN 46307-9678 | 2012-10-22 |
| 1376607507 | David Michael Boss | Physician Assistant | 50 Eastdale Ave N, Poughkeepsie, NY 12603-1260 | 2006-12-21 |
| Street Address |
425 JACK MARTIN BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686741 | Shore Radiation Oncology, LLC. | Radiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2005-06-02 |
| 1689299042 | Kerrianne Theresa Reuter | Registered Nurse | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-11 |
| 1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
| 1730701699 | Suneeta Kumari | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-14 |
| 1306468665 | Mary-catherine Skoulos | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1073135323 | Alexander Rawji | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1184245797 | Aneela Jafri | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-05 |
| 1285255513 | Sarah Nasir Aziz | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-28 |
| 1841810462 | Erica Ann Coffman | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-23 |
| 1770103871 | Jia Hong Chen | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821220336 | Sandhya Shukla | Internal Medicine | 1640 Route 88 Ste 202, Brick, NJ 08724 | 2009-08-17 |
| 1033372503 | Morrow C. Corvasce | Internal Medicine | 329 Cedarcroft Dr, Brick, NJ 08724-4428 | 2008-07-05 |
| 1336307529 | Arkady Broder | Internal Medicine | 1640 Rt 88w, Suite 202, Brick, NJ 08724 | 2008-05-25 |
| 1346213386 | Scott M Schlachter | Internal Medicine | 1640 Route 88 W, Ste. 202, Brick, NJ 08724-3036 | 2006-02-09 |
| 1417165416 | Mark Cerefice | Internal Medicine | 1640 Route 88 W, Ste 202, Brick, NJ 08724-3068 | 2007-05-21 |
| 1689764466 | Neal Jeffrey Winzelberg | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724 | 2006-10-13 |
| 1659469005 | Pacifico Aguila Magahis Jr. | Internal Medicine | 525 Jack Martin Blvd, Suite 301, Brick, NJ 08724-7737 | 2006-10-11 |
| 1962507251 | Assif Rozovsky | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724-7737 | 2006-09-13 |
| 1609985597 | Matthew Tangorra | Internal Medicine | 1640 Route 88, Suite 202, Brick, NJ 08724-3036 | 2006-08-30 |
| 1518073782 | Kenny Chiu | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724 | 2006-08-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.