Jay B Bosniak MD PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

25MA02566100 Issued in NJ

Legal business name

JAY B BOSNIAK MD PA

Practice address

143 Pavilion Ave
Long Branch, NJ 07740-6415

Phone

(732) 229-7440

Fax

(732) 229-2149

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay B Bosniak, MDNPI 1346653607

Title

Ceo

Phone

(732) 229-7440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Bosniak, M.D.

  • Specialist
  • Long Branch, NJ
  • NPI 1346653607
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1629117239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PAVILION AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406415",
            "telephone_number": "732-229-7440",
            "fax_number": "732-229-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PAVILION AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406415",
            "telephone_number": "732-229-7440",
            "fax_number": "732-229-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY B BOSNIAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "BOSNIAK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-229-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA02566100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megha Jain, MD
• Prateek Jain, MD
• James G. Roros, M.D., L.L.C.
• Joseph H Jamieson, PT
• Janet Rustia
• Chamseddine Jebali
• Joyce Lee Jenkins, NP
• Joel S. Ross M.D.,LLC.
• Andrew Johnson, DO
• Judith A Johnson, MD

• Legal Medicine in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.