Individual provider Active NPI

Louis Boxer, MD

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1386628436
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10354000 Issued in NJ
Practice address
5501 Old York Rd
Tower 3
Philadelphia, PA 19141-3018
Phone
(215) 456-6850
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA10354000 NJ Primary
Anesthesiology Physician 207L00000X MD050826L PA

Addresses

Primary practice location

5501 Old York Rd
Tower 3
Philadelphia, PA 19141-3018

Mailing address

509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100

Other identifiers 1

IdentifierTypeStateIssuer
001539179-0013MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101026001021 PA Practitioner - Anesthesiology 8123211893 Reassigns benefits to 1 organization
I20190301000079 NJ Practitioner - Anesthesiology 8123211893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA Current Accepting new patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Apr 1, 2019 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC Anesthesiology CurrentSince Mar 31, 2019 Accepting new patients
Ultracare Anesthesia Partners LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

163 Bridgeton Pike
Bldg B
Mullica Hill, NJ 08062
Phone (856) 478-4222

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

2 Van Buren Rd
Voorhees, NJ 08043
Phone (856) 770-0800

26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

2 E Laurel Ave
New Castle, PA 16101
Phone (724) 656-9127

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1386628436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100",
            "fax_number": "856-853-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "TOWER 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXER",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10354000",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD050826L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001539179-0013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.