Active NPI
James L Boas I, D.C.
- Rehabilitation Chiropractor
- Morganville, NJ
National Provider Identifier
1598810608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38MC00641100
- Practice address
- 479 Rte 79 Ste 15
Morganville, NJ 07751-4062 - Phone
- (732) 242-9541
- Fax
- (732) 242-9543
- NPI assigned
- Jan 25, 2007
- Last updated
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00641100 | NJ | Primary |
Addresses
Primary practice location
479 Rte 79 Ste 15
Morganville, NJ 07751-4062
Mailing address
76 Tulip LN
Freehold, NJ 07728-4086
Phone (908) 420-3589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
479 Route 79
Suite 15
Morganville, NJ 07751-4088
Phone (732) 242-9541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00641100 | NJ | MD | Rehabilitation Chiropractor |
Organizations & group practices 1
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.
-
- Rehabilitation Chiropractor
- Morganville, NJ
- NPI 1982871703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1598810608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 TULIP LN",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284086",
"telephone_number": "908-420-3589",
"fax_number": "732-887-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 RTE 79 STE 15",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077514062",
"telephone_number": "732-242-9541",
"fax_number": "732-242-9543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAS",
"first_name": "JAMES",
"middle_name": "L",
"name_suffix": "I",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00641100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.