Individual provider Active NPI

Mary Jane Bovo, M.D.

  • Obstetrics & Gynecology Physician
  • New Castle, PA
National Provider Identifier
1285879080
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G88274 Issued in CA
Practice address
203 Ashberry LN Apt 73
New Castle, PA 16105-3045
Phone
(201) 294-8565
Fax
(212) 208-4409
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G88274 CA Primary

Addresses

Primary practice location

203 Ashberry LN Apt 73
New Castle, PA 16105-3045

Mailing address

203 Ashberry LN Apt 73
New Castle, PA 16105-3045
Phone (201) 294-8565

Other names 1

  • Dr. MJ Bovo Other name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19240NVMDPharmacist
G88274CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1285879080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ASHBERRY LN APT 73",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053045",
            "telephone_number": "201-294-8565",
            "fax_number": "212-208-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ASHBERRY LN APT 73",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053045",
            "telephone_number": "201-294-8565",
            "fax_number": "212-208-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVO",
        "first_name": "MARY JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G88274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MJ",
            "last_name": "BOVO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.