Individual provider Active NPI

J Gordon Boak, MD

  • Cardiovascular Disease Physician
  • Ocean, NJ
National Provider Identifier
1013984087
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA298909 Issued in NJ
Practice address
301 Bingham Ave
Ocean, NJ 07712-4700
Phone
(732) 663-0300
Fax
(732) 663-0301
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA298909 NJ Primary

Addresses

Primary practice location

301 Bingham Ave
Ocean, NJ 07712-4700

Mailing address

2102 Corlies Ave
Neptune, NJ 07753-6141
Phone (732) 776-8535

Other identifiers 1

IdentifierTypeStateIssuer
0012181MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA298909NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Cardiovascular Associates PLLC Cardiovascular Disease Past Accepting new patients
Monmouth Cardiology Associates, LLC Cardiovascular Disease Past Accepting new patients
Sushil K Mehandru MD PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJICD
  • Direct secure messaging: joseph.boak.1@21847.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013984087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536141",
            "telephone_number": "732-776-8535",
            "fax_number": "732-774-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BINGHAM AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124700",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAK",
        "first_name": "J",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA298909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012181",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.