Jeffrey R Boxman, D.O
Individual provider Active NPI Neurology Physician · Galloway, NJ
NPI 1376548172 · NPPES record last updated Aug 7, 2014
Key facts
- NPI
- 1376548172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 25MB06007200 (NJ)
- Practice address
- 436 Chris Gaupp Dr
Ste 104
Galloway, NJ 08205-4487 - Phone
- (609) 748-6696
- Fax
- (609) 748-6693
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
436 Chris Gaupp Dr
Suite 104
Galloway, NJ 08205-4487
Phone (609) 748-6696
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Shore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.6 of 100
- Quality
- 32.67
- Improvement activities
- 40
- Cost
- 77.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090102000208 | NJ | Practitioner - Neurology | 7810059631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06007200 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Institute of South Jersey PA | Current |
Accepting new patients |
Locations
436 Chris Gaupp Dr
Ste 104
Galloway, NJ 08205
Phone (609) 748-6696
76 W Jimmie Leeds Rd
Ste 105
Galloway, NJ 08205
Phone (609) 652-3655
Interoperability endpoints
- jeffrey.boxman@neurologyinstituteofsouthjersey.chartmakerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MB06007200 | NJ | Yes |
Addresses
Primary practice location
436 Chris Gaupp Dr
Ste 104
Galloway, NJ 08205-4487
Mailing address
436 Chris Gaupp Dr
Ste 104
Galloway, NJ 08205-4487
Phone (609) 748-6696
Other providers in Galloway, NJ
- Allison Bise
- Bogota Laboratories, Inc.
- Adrianna Bollaro
- Nasser Eldien Borai
- Dorothy Bowker
- Haley Renee Brennan
- Abbie Brewster
- Margretta Broome
- Lemarra Rena Brown
- Marsha J Brown
All providers in Galloway, NJ · Neurology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.