Mary Berry-Le Boeuf, APN

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

26NCO5348100 Issued in NJ

Practice address

201 Lyons Ave
Suite L5
Newark, NJ 07112-2027

Phone

(973) 926-3500

Fax

(973) 926-8206

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Childrens Heart Center

  • Pediatric Surgery Physician
  • Newark, NJ
  • NPI 1235187469
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1518934561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "SUITE L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-3500",
            "fax_number": "973-926-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "SUITE L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-3500",
            "fax_number": "973-926-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-LE BOEUF",
        "first_name": "MARY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "26NCO5348100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Bernard
• Yicell Bernard
• Adam Jeffrey Bernatsky, D.P.M.
• Eugene Bernstein, DDS
• Lauren Berrol, MD
• Genean D. Berry, LA.C
• Marie Bertolini, RN, APN-C
• Monica Rachel Beshara
• Best Home Care Inc
• Best Home Care Inc

• Cardiovascular Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.