Active NPIIndividual providerSole proprietor

Dr. John Boulos, DPM

Podiatrist, Foot & Ankle Surgery in East Brunswick, New Jersey

NPI Number1790029072
Practice location
610 Cranbury RD Ste B, East Brunswick, NJ 08816-4030
Fax
732-955-6217
Last updated
April 26, 2024

John Boulos is a Podiatrist, Foot & Ankle Surgery based in East Brunswick, NJ. John Boulos practices in East Brunswick, NJ and has the professional credentials of DPM. The NPI Number for John Boulos is 1790029072 and holds a License No. 25MD00315100 (NJ). The current practice location address for John Boulos is 610 Cranbury RD Ste B, East Brunswick, NJ 08816-4030 and can be reached out via phone at 732-979-2035 and via fax at 732-955-6217.

Provider Profile Details

NPI Number
1790029072
Provider Name
John Boulos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
610 Cranbury RD Ste B, East Brunswick, NJ 08816-4030
Phone Number
732-979-2035
Fax Number
732-955-6217
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2012
Last Update Date
April 26, 2024
Certification Date
April 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Cranbury RD Ste B
East Brunswick, NJ 08816-4030
Zip
08816-4030
Phone Number
732-979-2035
Fax Number
732-955-6217
East Brunswick, NJ 08816Get directions →

Provider Business Mailing Address Details

Address
610 Cranbury RD Ste B
East Brunswick, NJ 08816-4030
City
East Brunswick
State
NJ
Zip
08816-4030
Phone Number
732-979-2035
Fax Number
732-955-6217

License Information

License Number
25MD00315100
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · 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 Dr. John Boulos, DPM?

The NPI number of Dr. John Boulos, DPM is 1790029072. It was assigned on November 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. John Boulos, DPM?

Dr. John Boulos, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00315100.

Where does Dr. John Boulos, DPM practice?

The practice location is 610 Cranbury RD Ste B, East Brunswick, NJ 08816-4030. The office can be reached at 732-979-2035 (phone) or 732-955-6217 (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 1790029072 directly on the NPPES registry website.

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