Active NPI
Maria Bohn, RD, RN, NP-C
- Gerontology Nurse Practitioner
- Manahawkin, NJ
National Provider Identifier
1255766960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ00781800
- Practice address
- 1361 Route 72 W
Manahawkin, NJ 08050 - Phone
- (609) 978-0600
- NPI assigned
- Sep 12, 2013
- Last updated
- Jun 22, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811238 | NJ | MD | Registered Dietitian |
| 26NR11852900 | NJ | MD | Registered Nurse |
| 26NJ00781800 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Group NJ LLC | Current | Accepting new patients | |
| Island Medical Professional Association | Current | 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.
-
- Allergy & Immunology Physician
- Holmdel, NJ
- NPI 1265083273
-
- Family Medicine Physician
- Ship Bottom, NJ
- NPI 1265549539
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.