Active NPIIndividual provider

Deborah J Bostock, MD

Family Medicine in Clifton, New Jersey

NPI Number1407832306
Practice location
852 Route 3, Clifton, NJ 07012-2343
Fax
973-528-8009
Last updated
November 13, 2024

Deborah Jean Bostock is a Family Medicine based in Clifton, NJ. Deborah Jean Bostock practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Deborah Jean Bostock is 1407832306 and holds a License No. 286649 (NY). The current practice location address for Deborah Jean Bostock is 852 Route 3, Clifton, NJ 07012-2343 and can be reached out via phone at 973-450-1991 and via fax at 973-528-8009.

Provider Profile Details

NPI Number
1407832306
Provider Name
Deborah Jean Bostock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
852 Route 3, Clifton, NJ 07012-2343
Phone Number
973-450-1991
Fax Number
973-528-8009
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Deborah Jean Herts, MD (Other Name)
Provider Enumeration Date
December 22, 2005
Last Update Date
November 13, 2024
Certification Date
November 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
852 Route 3
Clifton, NJ 07012-2343
Zip
07012-2343
Phone Number
973-450-1991
Fax Number
973-528-8009
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300

License Information

License Number (1)
286649
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
0101241804
License State (2)
VA
Taxonomy (2)
Family Medicine, Geriatric Medicine · 207QG0300X
License Number (3)
MD19935
License State (3)
TN
Taxonomy (3)
Family Medicine · 207Q00000X
License Number (4)
25MA11294900
License State (4)
NJ
Taxonomy (4)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah J Bostock, MD?

The NPI number of Deborah J Bostock, MD is 1407832306. It was assigned on December 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Deborah J Bostock, MD?

Deborah J Bostock, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 286649.

Where does Deborah J Bostock, MD practice?

The practice location is 852 Route 3, Clifton, NJ 07012-2343. The office can be reached at 973-450-1991 (phone) or 973-528-8009 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407832306 directly on the NPPES registry website.

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