Active NPI
Jeffrey J Boxer, MD
- Pediatrics Physician
- Rehoboth Beach, DE
National Provider Identifier
1659353217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0011773
- Practice address
- 18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4474 - Phone
- (302) 645-8212
- Fax
- (302) 645-2199
- NPI assigned
- Nov 17, 2005
- Last updated
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C1-0011773 | DE | Primary |
Addresses
Primary practice location
18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4474
Mailing address
18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4474
Phone (302) 645-8212
Other practice location 1
32566 Docs Pl
Millville, DE 19967-6959
Phone (302) 645-8212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001109 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0011773 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14827/brand/1/csg/1/fhir/r4
- jeff.boxer.1@14827.direct.athenahealth.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1659353217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY",
"address_2": "SUITE 212",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714474",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY",
"address_2": "SUITE 212",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714474",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199"
}
],
"practiceLocations": [
{
"address_1": "32566 Docs Pl",
"address_purpose": "LOCATION",
"city": "Millville",
"state": "DE",
"postal_code": "199676959",
"country_code": "US",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOXER",
"first_name": "JEFFREY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0011773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001109",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.