BOULEVARD MEDICAL OFFICE PC (NPI# 1538225230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538225230 |
| Entity Type | Organization |
| Organization Name | BOULEVARD MEDICAL OFFICE PC |
| Practice Address |
801 Kennedy Blvd Bayonne NJ 07002 |
| Practice Telephone | 2014370250 |
| Practice Fax Number | 2014364191 |
| Mailing Telephone | 2014370250 |
| Mailing Fax Number | 2014364191 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN ASTALOS (PRESIDENT) |
| Authorized Official Telephone | 2014370250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | Chiropractic Providers | ||
| X | 171100000X | Acupuncturist | Other Service Providers | ||
| X | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
801 KENNEDY BLVD |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174964704 | Olive Chiropractic & Wellness Center LLC | Chiropractor | 36 W 46th St, Bayonne, NJ 07002-4003 | 2013-07-11 |
| 1366889396 | Andrea Alejandra Flores | Chiropractor | 135 Avenue B, Bayonne, NJ 07002-2037 | 2013-05-31 |
| 1366715963 | Chiromed Group Bayonne LLC | Chiropractor | 10 E. 22nd Street, Bayonne, NJ 07002-3708 | 2012-02-14 |
| 1073811303 | Edward P. Brown, PC | Chiropractor | 10 W 46th St, Bayonne, NJ 07002-4003 | 2011-03-10 |
| 1518125038 | Antonella Michele Sena | Chiropractor | 82 W 46th St, Bayonne, NJ 07002-2018 | 2008-05-30 |
| 1982724142 | Steven Gary Bacall | Chiropractor | 325 Avenue C, Bayonne, NJ 07002-1403 | 2007-03-30 |
| 1811041403 | Steven Thomas Coachman | Chiropractor | 7 W 8th St, Bayonne, NJ 07002-1201 | 2007-01-22 |
| 1104976844 | Edward P Brown | Chiropractor | 10 W 46 Street, Bayonne, NJ 07002 | 2007-01-12 |
| 1568533891 | Alan Frank Astalos | Chiropractor | 801 Kennedy Boulevard, Bayonne, NJ 07002-2810 | 2006-11-10 |
| 1154490803 | Paul Joseph Roses | Chiropractor | 901 Avenue C, Bayonne, NJ 07002-3012 | 2006-11-07 |
| Find all providers in BAYONNE | ||||
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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.