JULIE BOHACK


Address: 1346 Rt 72 West, Manahawkin, NJ 08050-2485
Phone: 6095973416

JULIE BOHACK (NPI# 1902204274) 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) 1902204274
Entity Type Individual
Full Name JULIE BOHACK
Credential APN
Practice Address 1346 Rt 72 West
Manahawkin
NJ 08050-2485
Mailing Address 1346 Route 72
Manahawkin
NJ 08050
Practice Telephone 6095973416
Practice Fax Number 6094886341
Mailing Telephone 6095973416
Mailing Fax Number 6094886341
Enumeration Date 2014-12-18
Last Update Date 2016-05-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
26NJ00512900 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1346 RT 72 WEST
City MANAHAWKIN
State NJ
Zip Code 08050-2485

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1831669167 Hcp Manahawkin Nj Opco, LLC Alzheimer Center (Dementia Center) 1272 Route 72 West, Manahawkin, NJ 08050 2018-11-29
1659893576 Sara Rodino Physical Therapist 183 Anchor Ave, Manahawkin, NJ 08050 2017-07-12
1922520980 Donnah Marie Celentano Nurse Practitioner 547 Route 72 East, Manahawkin, NJ 08050 2017-07-12
1639612757 Annemarie Sacco Counselor 1140 Nj-72, Manahawkin, NJ 08050 2016-11-21
1255790028 James G Johnson Physical Therapy Assistant 1361 Nj-72, Manahawkin, NJ 08050 2016-02-22
1760853188 Jane Eremus-foster Nurse Practitioner 547 Route 72 W, Manahawkin, NJ 08050 2015-10-12
1710395579 Stafford Medical P.a. Specialist 1346 Rt 72 W, Manahawkin, NJ 08050 2014-07-24
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MANAHAWKIN
Zip Code 08050

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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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