Individual provider Active NPI

Patricia N O'Boyle Kost, D.C.

  • Chiropractor
  • River Edge, NJ
National Provider Identifier
1336290642
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00297100 Issued in NJ
Practice address
409 Bogert Rd
River Edge, NJ 07661-1844
Phone
(201) 262-0199
Fax
(201) 262-0252
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00297100 NJ Primary

Addresses

Primary practice location

409 Bogert Rd
River Edge, NJ 07661-1844

Mailing address

409 Bogert Rd
River Edge, NJ 07661-1844
Phone (201) 262-0199

Other names 1

  • Dr. Patricia N O'Boyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301001013 NJ Practitioner - Chiropractic 4486835097 Practice locations: River Edge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 Bogert Rd
River Edge, NJ 07661-1844
Phone (201) 262-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1336290642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BOGERT RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611844",
            "telephone_number": "201-262-0199",
            "fax_number": "201-262-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BOGERT RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611844",
            "telephone_number": "201-262-0199",
            "fax_number": "201-262-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BOYLE KOST",
        "first_name": "PATRICIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00297100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "O'BOYLE",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.