Individual provider Active NPI

Kerri Boemio, FNP

  • Family Nurse Practitioner
  • Island Heights, NJ
National Provider Identifier
1427715267
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01224300 Issued in NJ
Practice address
17 Central Ave
Island Heights, NJ 08732-7714
Phone
(908) 783-5143
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01224300 NJ Primary

Addresses

Primary practice location

17 Central Ave
Island Heights, NJ 08732-7714

Mailing address

PO Box 779
Island Heights, NJ 08732-0779
Phone (908) 783-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221108003173 NJ Practitioner - Nurse Practitioner 2769859586 Reassigns benefits to 1 organization
I20230215001854 NY Practitioner - Nurse Practitioner 2769859586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Medicine Institute CorporationGroup PAC ID 8527017284, 4 clinicians

Practice addresses (Care Compare)

2446 Church Rd
Suite 1D
Toms River, NJ 08753-8182
Phone (732) 255-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01224300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Medicine Institute Corporation CurrentSince Dec 1, 2022 Accepting new patients
Garumuni Anura Desilva, MD PC CurrentSince May 1, 2022 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

2446 Church Rd
Ste 1D
Toms River, NJ 08753
Phone (732) 255-3636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1427715267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "ISLAND HEIGHTS",
            "state": "NJ",
            "postal_code": "087320779",
            "telephone_number": "908-783-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRAL AVE",
            "city": "ISLAND HEIGHTS",
            "state": "NJ",
            "postal_code": "087327714",
            "telephone_number": "908-783-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEMIO",
        "first_name": "KERRI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01224300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Heights, NJ

Sources for this page

Verify at the official NPI Registry.