Individual provider Active NPI

John Matthew Boozan, M.D.

  • Ophthalmology Physician
  • Summit, NJ
National Provider Identifier
1265436174
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04666900 Issued in NJ
Practice address
33 Overlook Rd
Ste 407
Summit, NJ 07901-3564
Phone
(908) 277-1166
Fax
(908) 277-0141
NPI assigned
Jun 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA04666900 NJ Primary

Addresses

Primary practice location

33 Overlook Rd
Ste 407
Summit, NJ 07901-3564

Mailing address

33 Overlook Rd
Ste 407
Summit, NJ 07901-3564
Phone (908) 277-1166

Other identifiers 3

IdentifierTypeStateIssuer
40941OtherNJAETNA/US HEALTHCARE
3313808MedicaidNJ
US 287OtherNJOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000073 NJ Practitioner - Ophthalmology 5496935769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Overlook Rd
Suite 407
Summit, NJ 07901-3564
Phone (908) 277-1166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as individual
Quality
94
Improvement activities
40
Cost
77.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04666900NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John M Boozan MD PA CurrentSince Jan 1, 1989 Accepting new patients

Locations

33 Overlook Rd
Ste 407
Summit, NJ 07901
Phone (908) 277-1166

Interoperability endpoints

  • Direct secure messaging: drboozanmd@drboozan.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265436174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "STE 407",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013564",
            "telephone_number": "908-277-1166",
            "fax_number": "908-277-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "STE 407",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013564",
            "telephone_number": "908-277-1166",
            "fax_number": "908-277-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZAN",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04666900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "40941",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3313808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "US 287",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.