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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00315100 | NJ | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124190 | John Boulos | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-07 |
Street Address |
579 CRANBURY RD STE G |
City | EAST BRUNSWICK |
State | NJ |
Zip Code | 08816-5408 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 08816 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
City | EAST BRUNSWICK |
Zip Code | 08816 |
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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.