Boulevard Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOULEVARD PHYSICAL THERAPY PC

Practice address

467 Boulevard
Kenilworth, NJ 07033-1664

Phone

(908) 377-4095

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam S Green, PTNPI 1366466278

Title

President

Phone

(908) 377-4095

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam S Green, MSPT

  • Physical Therapist
  • Kenilworth, NJ
  • NPI 1366466278
  NPD Authorized official
• Frank Matthew Caldwell, DC

  • Chiropractor
  • Kenilworth, NJ
  • NPI 1275639619
  NPD (past)

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1427851567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 EMERSON AVE",
            "city": "NORTH CAPE MAY",
            "state": "NJ",
            "postal_code": "082042106",
            "telephone_number": "908-377-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331664",
            "telephone_number": "908-377-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-377-4095",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas Jose Ballesteros IV, DMD
• Gail Berman, M.D.
• Blossoming Skies Learning Consultants, LLC.
• Christia Marie Bogojovski, FNP-BC
• Borough of Kenilworth
• Robert Raymond Brezinski, D.C.
• Frank Matthew Caldwell, DC
• Naimah Carbon
• Tae-Young J. Choi, L.AC
• Nancy Coba, PSY.D.

• Physical Therapist in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.