Carolyn Boyle, FNP-C
Individual provider Active NPI Nurse Practitioner · Long Branch, NJ
NPI 1174097703 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1174097703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 25NJ00897400 (NJ)
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-6335
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barnabas Health Medical Group PC
Practice addresses (Care Compare)
300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-6890
Hospital & facility affiliations
- Monmouth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200306000009 | NJ | Practitioner - Nurse Practitioner | 8527495415 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25NJ00897400 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Rwjbh Observation Associates LLC | Nurse Practitioner | Current |
Accepting new patients |
| Barnabas Health Medical Group PC | Current |
Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 25NJ00897400 | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
496 Apple Valley Dr
Belford, NJ 07718-1002
Phone (732) 921-9942
Other providers in Long Branch, NJ
- Heather Borbely
- Jay Bosniak
- Merna Botros
- Jana Bova
- William Patrick Boyan Jr.
- Gregory Braslavsky
- Arthur Edward Brawer
- Alexander John Bredenkamp
- Melinda Mae Brenner
- Alan H Bresler
All providers in Long Branch, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.