Shirlane A Bowen, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00522800 Issued in NJ

Practice address

2703 US Highway 130 Ste 100
North Brunswick, NJ 08902-4721

Phone

(732) 934-4892

Fax

(732) 838-1905

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Act on Total Health Medical Group, LLC

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1952992455
  NPD

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1114394988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CROMWELL CT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282223",
            "telephone_number": "609-638-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 US HIGHWAY 130 STE 100",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024721",
            "telephone_number": "732-934-4892",
            "fax_number": "732-838-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SHIRLANE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00522800",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00522800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114394988",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY",
            "identifier": "1114394988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Forbes Boals, PH.D.
• Mary Ann Bock, PT
• Boikin Healthcare Services LLC
• Parvin Abdul Bora, RPH
• Irina Botvinnik
• Emily Boyle
• Brain Injury Alliance of New Jersey
• Gary Craig Braun, D.M.D.
• Sean Breheney
• Stephanie H Brennan, PT, DPT

• Primary Care Nurse Practitioner in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.