Individual provider Active NPI

Maria Bohn, RD, RN, NP-C

  • Gerontology Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1255766960
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00781800 Issued in NJ
Practice address
1361 Route 72 W
Manahawkin, NJ 08050
Phone
(609) 978-0600
NPI assigned
Sep 12, 2013
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00781800 NJ Primary
Registered Dietitian 133V00000X 811238 NJ
Registered Nurse 163W00000X 26NR11852900 NJ

Addresses

Primary practice location

1361 Route 72 W
Manahawkin, NJ 08050

Mailing address

18 1St St
Barnegat, NJ 08005-1209
Phone (732) 939-6156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
811238NJMDRegistered Dietitian
26NR11852900NJMDRegistered Nurse
26NJ00781800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Group NJ LLC CurrentSince Oct 22, 2021 Accepting new patients
Island Medical Professional Association CurrentSince Jan 27, 2022 Accepting new patients

Locations

717 N Beers St
Ste 2A
Holmdel, NJ 07733
Phone (732) 683-1071

100 Craig Rd
Ste 204
Manalapan, NJ 07726
Phone (732) 683-1071

1812 Long Beach Blvd
Ship Bottom, NJ 08008
Phone (609) 226-3007

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1255766960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 1ST ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051209",
            "telephone_number": "732-939-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-978-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "MARIA",
        "credential": "RD, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00781800",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "811238",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11852900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.