Active NPI
Michelle M. Bouyea, M.D.
- Anesthesiology Physician
- Willingboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA07317700
- Practice address
- 1000 Salem Rd
Suite B
Willingboro, NJ 08046-2852 - Phone
- (877) 476-6642
- Fax
- (914) 819-0061
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA07317700 | NJ | Primary |
Addresses
Primary practice location
1000 Salem Rd
Suite B
Willingboro, NJ 08046-2852
Mailing address
725 River Rd
#299
Edgewater, NJ 07020-1171
Phone (877) 476-6642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8739901 | Medicaid | NJ | |
| P00953298 | Other | NJ | RR MCR PTAN |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albany Medical College of Union University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1907 State Route 35 9
Oakhurst, NJ 07755-2760
Phone (732) 312-5580
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07317700 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients | |
| Anesthesiology Associates of Eastern Connecticut, P.C | Anesthesiology | Past | Accepting new patients |
Locations
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
1945 Corlies Ave
Neptune City, NJ 07753
Phone (732) 776-4203
1907 Highway 35
Ste 9
Oakhurst, NJ 07755
Phone (732) 517-0060
1907 State Route 35
Ste 1
Oakhurst, NJ 07755
Phone (732) 517-0060
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
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.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
Anesthesiology
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
-
- Anesthesiology Physician
- Manchester, CT
- NPI 1730154196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642291200000",
"number": "1124001797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"address_2": "#299",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "877-476-6642",
"fax_number": "914-819-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SALEM RD",
"address_2": "SUITE B",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080462852",
"telephone_number": "877-476-6642",
"fax_number": "914-819-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUYEA",
"first_name": "MICHELLE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07317700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8739901",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PTAN",
"identifier": "P00953298",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.