Jeanine L Bossart
Physician Assistant in Wayne, New Jersey
1689148082- Practice location
- 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704
- Phone
- 973-317-0155
- Fax
- 973-317-0149
- Last updated
- August 11, 2022
Jeanine Lee Bossart is a Physician Assistant based in Wayne, NJ. Jeanine Lee Bossart practices in Wayne, NJ. The NPI Number for Jeanine Lee Bossart is 1689148082 and holds a License No. 25MP00480400 (NJ). The current practice location address for Jeanine Lee Bossart is 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704 and can be reached out via phone at 973-317-0155 and via fax at 973-317-0149.
Provider Profile Details
- NPI Number
- 1689148082
- Provider Name
- Jeanine Lee Bossart
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704
- Phone Number
- 973-317-0155
- Fax Number
- 973-317-0149
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 18, 2019
- Last Update Date
- August 11, 2022
- Certification Date
- August 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 330 Ratzer RD Ste B7
Wayne, NJ 07470-7704 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-7704
- Phone Number
- 973-317-0155
- Fax Number
- 973-317-0149
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-6457 - City
- Boston
- State
- MA
- Zip
- 02241-6457
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number
- 25MP00480400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jeanine L Bossart?
The NPI number of Jeanine L Bossart is 1689148082. It was assigned on January 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeanine L Bossart?
Jeanine L Bossart is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00480400.
Where does Jeanine L Bossart practice?
The practice location is 330 Ratzer RD Ste B7, Wayne, NJ 07470-7704. The office can be reached at 973-317-0155 (phone) or 973-317-0149 (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 1689148082 directly on the NPPES registry website.