Individual provider Active NPI

Joycelyn A Boison

  • Family Nurse Practitioner
  • Monroe Township, NJ
National Provider Identifier
1356077457
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01398200 Issued in NJ
Practice address
54 E Sedgwick St
Monroe Township, NJ 08831-1211
Phone
(862) 224-9458
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20811700 NJ
Family Nurse Practitioner 363LF0000X 26NJ01398200 NJ Primary

Addresses

Primary practice location

54 E Sedgwick St
Monroe Township, NJ 08831-1211

Mailing address

54 E Sedgwick St
Monroe Township, NJ 08831-1211
Phone (862) 224-9458

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001349 NJ Practitioner - Nurse Practitioner 9032576798 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR20811700NJMDRegistered Nurse
26NJ01398200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 1, 2023 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

1311 Durham Ave
South Plainfield, NJ 07080
Phone (732) 227-1226

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1356077457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E SEDGWICK ST",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311211",
            "telephone_number": "862-224-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E SEDGWICK ST",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311211",
            "telephone_number": "862-224-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISON",
        "first_name": "JOYCELYN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20811700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01398200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

Verify at the official NPI Registry.