Individual provider Active NPI

Marlena Ann Boeni, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1649965500
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022095798 Issued in NJ
Practice address
39 Pinewood Dr
Brick, NJ 08724-2813
Phone
(848) 333-4658
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022095798 NJ Primary

Addresses

Primary practice location

39 Pinewood Dr
Brick, NJ 08724-2813

Mailing address

39 Pinewood Dr
Brick, NJ 08724-2813
Phone (848) 333-4658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002700 NJ Practitioner - Nurse Practitioner 0446797559 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordial Health PCGroup PAC ID 9537512512, 2 clinicians

Practice addresses (Care Compare)

661 E Palisade Ave
Suite A4
Englewood Cliffs, NJ 07632-1800
Phone (347) 667-7924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022095798NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Startnewu LLC CurrentSince Dec 20, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Sep 25, 2024 Accepting new patients
Life Choice Hospice of New Jersey, LLC CurrentSince Jul 10, 2024 Accepting new patients
Cordial Health PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

661 E Palisade Ave
Ste A4
Englewood Cliffs, NJ 07632
Phone (201) 408-4777

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

400 Madison Ave
Ste 101
Manalapan, NJ 07726
Phone (732) 351-4333

4390 Route 130
Ste A
Willingboro, NJ 08046
Phone (267) 781-7315

831 Bedford Ave
Brooklyn, NY 11205

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1649965500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PINEWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242813",
            "telephone_number": "848-333-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PINEWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242813",
            "telephone_number": "848-333-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENI",
        "first_name": "MARLENA",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "2022095798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.