Individual provider Active NPI

Sherri Boseski, A.P.N.-C

  • Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1073563284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26N010228900 Issued in NJ
Practice address
196 Jewett Ave
Jersey City, NJ 07304-1804
Phone
(201) 536-9000
Fax
(201) 536-9047
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26N010228900 NJ Primary

Addresses

Primary practice location

196 Jewett Ave
Jersey City, NJ 07304-1804

Mailing address

415 Ridge Rd
Apartment 0
North Arlington, NJ 07031-5340
Phone (201) 998-0680

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26N010228900NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073563284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RIDGE RD",
            "address_2": "APARTMENT 0",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315340",
            "telephone_number": "201-998-0680",
            "fax_number": "201-536-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 JEWETT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041804",
            "telephone_number": "201-536-9000",
            "fax_number": "201-536-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSESKI",
        "first_name": "SHERRI",
        "credential": "A.P.N.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26N010228900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.