Individual provider Active NPI

Ascar J Boinett

  • Psychiatric/Mental Health Nurse Practitioner
  • Lyndhurst, NJ
National Provider Identifier
1124841424
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15163700 Issued in NJ
Practice address
311 Harding Ave
Lyndhurst, NJ 07071-3307
Phone
(973) 928-9153
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15163700 NJ Primary

Addresses

Primary practice location

311 Harding Ave
Lyndhurst, NJ 07071-3307

Mailing address

311 Harding Ave
Lyndhurst, NJ 07071-3307
Phone (973) 928-9153

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725001593 NJ Practitioner - Nurse Practitioner 7012424062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gold Standard Medical Group PCGroup PAC ID 2961762554, 32 clinicians

Practice addresses (Care Compare)

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15163700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Standard Medical Group PC CurrentSince May 19, 2025 Accepting new patients

Locations

1136 Clifton Ave
#2
Clifton, NJ 07013
Phone (862) 249-1266

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

Organizations & group practices 1

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1124841424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HARDING AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713307",
            "telephone_number": "973-928-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HARDING AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713307",
            "telephone_number": "973-928-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOINETT",
        "first_name": "ASCAR",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15163700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.