Organization Active NPI

James a Boozan M D

  • Otolaryngology Physician
  • Lawrenceville, NJ
National Provider Identifier
1578508248
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
JAMES A BOOZAN M D
Practice address
3131 Princeton Pike
Building 5 Suite 100
Lawrenceville, NJ 08648-2201
Phone
(609) 844-9661
Fax
(609) 844-9664
NPI assigned
Jun 18, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. James Aloysius Boozan, M.D.
Title
Physician
Phone
(609) 844-9661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Audiologist-Hearing Aid Fitter 237600000X NU

Addresses

Primary practice location

3131 Princeton Pike
Building 5 Suite 100
Lawrenceville, NJ 08648-2201

Mailing address

3131 Princeton Pike
Building 5 Suite 100
Lawrenceville, NJ 08648-2201
Phone (609) 844-9661

Other identifiers 1

IdentifierTypeStateIssuer
6011501MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1578508248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 5 SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-844-9661",
            "fax_number": "609-844-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 5 SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-844-9661",
            "fax_number": "609-844-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A BOOZAN M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BOOZAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALOYSIUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-844-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6011501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.