Marilynn Dora Boim, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA49981 Issued in NJ

Practice address

3 Hamilton Health PL
Suite a
Hamilton, NJ 08690-3542

Phone

(609) 581-4480

Fax

(609) 581-5222

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1306801568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAMILTON HEALTH PL",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "609-581-4480",
            "fax_number": "609-581-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HAMILTON HEALTH PL",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "609-581-4480",
            "fax_number": "609-581-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIM",
        "first_name": "MARILYNN",
        "middle_name": "DORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA49981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurvan E. Blackman, MD
• Danielle Sara Blum, M.A. CCC-SLP
• Matthew Scott Blutfield, DPM
• John Edward Bock, LDN
• Kevin Bodine
• Leanna Boknoski
• Danielle Bollaci, MA, LAC
• Deanna Bond
• Emily Taylor Bonnes, PA-C
• Sonya Boone, DOULA

• Pediatric Adolescent Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.

Verify at the official NPI Registry.