DR. JOHN BOULOS


Address: 579 Cranbury Rd, Ste G, East Brunswick, NJ 08816-5408
Phone: 7329792035

DR. JOHN BOULOS (NPI# 1790029072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790029072
Entity Type Individual
Full Name DR. JOHN BOULOS
Credential DPM
Practice Address 579 Cranbury Rd
Ste G
East Brunswick
NJ 08816-5408
Mailing Address 579 Cranbury Rd
Suite G
East Brunswick
NJ 08816-5405
Practice Telephone 7329792035
Practice Fax Number 7322543145
Mailing Telephone 7329792035
Mailing Fax Number 7322543145
Enumeration Date 2012-11-26
Last Update Date 2016-10-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
25MD00315100 NJ Podiatric Medicine & Surgery Service Providers

Other Providers JOHN BOULOS

NPI Name Taxonomy Address Enumeration
1770124190 John Boulos Pharmacist 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2019-10-07

Office Location

Street Address 579 CRANBURY RD
STE G
City EAST BRUNSWICK
State NJ
Zip Code 08816-5408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487639241 Lynne Frances Levy Radiology 579 Cranbury Rd, University Radiology Group PC, East Brunswick, NJ 08816-5405 2005-12-14
1881096816 Beyond Vtc 2020 Professional Corporation Optometrist 579 Cranbury Rd, Suite I, East Brunswick, NJ 08816-5405 2014-09-22
1427480789 Therapeutics Unlimited Health and Wellness, LLC Acupuncturist 579 Cranbury Rd, Suite D, East Brunswick, NJ 08816-5405 2013-08-08
1679821086 Beyond Vtc 2020 Professional Corporation Optometrist 579 Cranbury Rd, Suite I, East Brunswick, NJ 08816-5405 2012-08-16
1518224773 United Foot and Ankle, Inc Podiatrist 579 Cranbury Rd, Suite G, East Brunswick, NJ 08816-5405 2012-04-12
1811207608 Kirti P Patel Optometrist 579 Cranbury Rd, Suite I, East Brunswick, NJ 08816-5405 2010-10-14
1376867150 Payam Torrei Radiology 579 Cranbury Rd, East Brunswick, NJ 08816-5405 2010-03-23
1417284332 Tu Rehab LLC Clinic/Center 579 Cranbury Rd, East Brunswick, NJ 08816-5405 2009-11-13
1588816896 Health First Pediatrics Associates Pa Clinic/Center 579 Cranbury Rd, Suite D, East Brunswick, NJ 08816-5405 2008-10-17
1225215320 Doctor's Care Center, P.a. Clinic/Center 579 Cranbury Rd, Suite A, East Brunswick, NJ 08816-5405 2008-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891307955 Julia Brillante Psychologist Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 2020-08-20
1790393247 Caring Homecare LLC Home Health 723 Nj - 18, East Brunswick, NJ 08816 2020-07-21
1710527957 Sophisticated Ventures LLC Home Health 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 2020-01-15
1083251375 Joshua Persaud Md LLC Anesthesiology 2 Pine Meadow Ct, E Brunswick, NJ 08816 2019-12-05
1437718855 Optimum Heart & Medical Care LLC Internal Medicine 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 2019-06-10
1356805402 Sr Plastic Surgery PC Surgery 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 2019-01-23
1083199012 Kami Ives Speech-Language Pathologist 431 Cranbury Rd., East Brunswick, NJ 08816 2018-09-25
1316442460 Emily Katherine Smith Physician Assistant 418 Route 18, East Brunswick, NJ 08816 2018-03-29
1942713649 Apluscare, LLC Community/Behavioral Health 3105 Commons Dr, East Brunswick, NJ 08816 2017-11-16
1093234338 Larissa Rachel Elk Occupational Therapist 11 Mayfair Court, East Brunswick, NJ 08816 2017-09-19
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902353881 Ramos Foot and Ankle Center LLC Podiatrist 561 Cranbury Rd Ste L, East Brunswick, NJ 08816-5400 2016-09-08
1982984829 Christine Nashed Podiatrist 579 Cranbury Rd Ste G, East Brunswick, NJ 08816-5408 2011-08-23
1548472723 University Foot & Ankle Center Podiatrist G-12 Brier Hill Court, East Brunswick, NJ 08816 2007-05-03
1891899092 Gibbons Foot & Ankle Group LLC Podiatrist 8 Auer Court, Suite C & D, East Brunswick, NJ 08816 2006-09-11
1104855477 Advantage Foot Care Centers LLC Podiatrist B2 Brier Hill Court, East Brunswick, NJ 08816-3348 2006-06-30
1154315703 Thomas J Gibbons Podiatrist 8 Auer Ct, East Brunswick, NJ 08816-5846 2005-09-08
1699774620 Warren A Pasternack Podiatrist B2 Brier Hill Ct, East Brunswick, NJ 08816-3348 2005-07-20
1518224773 United Foot and Ankle, Inc Podiatrist 579 Cranbury Rd, Suite G, East Brunswick, NJ 08816-5405 2012-04-12
1144519943 University Foot and Ankle Center, LLC Podiatrist G12 Brier Hill Ct, East Brunswick, NJ 08816-3338 2011-04-01
1891861589 Mark Jeffrey Berger Podiatrist G12 Brier Hill Ct, East Brunswick, NJ 08816-3338 2006-11-27
Find all providers in EAST BRUNSWICK

Competitor

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City EAST BRUNSWICK
Zip Code 08816

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Dataset Information

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.

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