William Patrick Boyan Jr., M.D.
Individual provider Active NPI Surgery Physician · Long Branch, NJ
NPI 1376980896 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1376980896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25MA10898700 (NJ)
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-6769
- NPI assigned
- May 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barnabas Health Medical Group PC
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
200 Wyckoff Rd
Eatontown, NJ 07724-1921
Phone (888) 724-7123
300 2ND Ave
Long Branch, NJ 07740-6303
475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000
600 River Ave
Lakewood, NJ 08701-5237
Phone (615) 972-9119
94 Old Short Hills Rd
Livingston, NJ 07039-5672
99 Hwy 37 W
Toms River, NJ 08755-6423
Phone (732) 477-8988
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Monmouth Medical Center
- Monmouth Medical Center-Southern Campus
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20201016002156 | NJ | Practitioner - General Surgery | 7719239276 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.145129 | IL | MD | Transplant Surgery Physician |
| 25MA10898700 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Barnabas Health Medical Group PC | Surgery | Current |
Accepting new patients |
| Barnabas Health Medical Group, PC | Current |
Accepting new patients |
Locations
200 Wyckoff Rd
Ste 4300
Eatontown, NJ 07724
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
101 Prospect St
Ste 214
Lakewood, NJ 08701
Phone (732) 370-6062
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
1 Robert Wood Johnson Pl
Fl 3
New Brunswick, NJ 08901
Phone (723) 235-5709
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- wboyan45816@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 036.145129 | IL | |
| Surgery Physician | 208600000X | 25MA10898700 | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
676 N Saint Clair St Ste 1900
Chicago, IL 60611-2986
Phone (312) 695-3555
Other practice location 1
676 N Saint Clair St Ste 1900
Chicago, IL 60611-2986
Phone (312) 695-3555
Other providers in Long Branch, NJ
- Carl P Bontempo
- Heather Borbely
- Jay Bosniak
- Merna Botros
- Jana Bova
- Carolyn Boyle
- Gregory Braslavsky
- Arthur Edward Brawer
- Alexander John Bredenkamp
- Melinda Mae Brenner
All providers in Long Branch, NJ · Surgery 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 Mar 4, 2024. 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.