Individual provider Active NPI

Caryl Lynn Bochniak, APN

  • Family Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1679187629
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00894100 Issued in NJ
Practice address
201 S Shore Rd
Northfield, NJ 08225
Phone
(609) 645-5933
NPI assigned
Sep 6, 2020
Last updated
Sep 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00894100 NJ Primary

Addresses

Primary practice location

201 S Shore Rd
Northfield, NJ 08225

Mailing address

201 S Shore Rd
Northfield, NJ 08225
Phone (609) 645-5933

Other practice location 1

404 S Donna Dr
Egg Harbor City, NJ 08215-3817
Phone (609) 442-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230620003533 NJ Practitioner - Nurse Practitioner 5698133882 Reassigns benefits to 1 organization
I20231019001601 NY Practitioner - Nurse Practitioner 5698133882 Reassigns benefits to 1 organization
I20231020000570 PA Practitioner - Nurse Practitioner 5698133882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00894100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 27, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients
County of Atlantic PastSince Sep 13, 2020 Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1679187629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S SHORE RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "08225",
            "telephone_number": "609-645-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SHORE RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "08225",
            "telephone_number": "609-645-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S Donna Dr",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor City",
            "state": "NJ",
            "postal_code": "082153817",
            "country_code": "US",
            "telephone_number": "609-442-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCHNIAK",
        "first_name": "CARYL",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00894100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.