Jolene Elizabeth Bohensky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056066 Issued in PA

Practice address

361 N Main St
Glassboro, NJ 08028-1920

Phone

(856) 881-8618

NPI assigned

Dec 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jon S Heist DO PA

  • Family Medicine Physician
  • Glassboro, NJ
  • NPI 1467467175
  NPD (past)

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1336484344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281920",
            "telephone_number": "856-881-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281920",
            "telephone_number": "856-881-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHENSKY",
        "first_name": "JOLENE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00296500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Blair, LCSW
• Christina Blanton
• Bluebird Supportive Services
• Yvonne Suzanne Boardley
• Roseanna Bodner, LCSW
• Teagan Borguet
• Scott David Boruchov, M.D.
• Angela Bowen, LSW
• Jeremy T Boyd, PT, DPT, OCS, SCS
• Chelsea J Boyer, RDN, LDN

• Physician Assistant in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.