Individual provider Active NPI

Selina Boadi, APN

  • Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1780924761
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00762700 Issued in NJ
Practice address
540 S Wood Ave
Linden, NJ 07036
Phone
(405) 501-5718
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00762700 NJ Primary

Addresses

Primary practice location

540 S Wood Ave
Linden, NJ 07036

Mailing address

6061 Cedar CT
Monmouth Junction, NJ 08852-2135
Phone (405) 501-5718

Other practice location 1

247 Johnson Ave
J4
Hackensack, NJ 07601-5142
Phone (201) 820-2309

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
I20180221000875 NJ Practitioner - Nurse Practitioner 7719248459 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00762700NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Dec 4, 2019 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jan 10, 2018 Accepting new patients
Center for Hope Hospice, Inc CurrentSince Oct 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 3, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Dec 4, 2019 Accepting new patients
Valley Physician Services PC CurrentSince Dec 8, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 3, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

20 Prospect Ave
Ste 615
Hackensack, NJ 07601
Phone (201) 996-0308

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

264 Boyden Ave
Maplewood, NJ 07040
Phone (973) 761-0764

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

80 E Route 4
Fl 4
Paramus, NJ 07652

186 Rochelle Ave
Fl 2
Rochelle Park, NJ 07662
Phone (551) 996-1817

1900 Raritan Rd
Scotch Plains, NJ 07076
Phone (908) 288-9138

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

Interoperability endpoints

  • Direct secure messaging: selina.boadi.1@5622.direct.athenahealth.com
  • Direct secure messaging: selina.boadi.1@30409.direct.athenahealth.com
  • Direct secure messaging: sboadi76837@direct.optum.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1780924761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 CEDAR CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522135",
            "telephone_number": "405-501-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "07036",
            "telephone_number": "405-501-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Johnson Ave",
            "address_2": "J4",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015142",
            "country_code": "US",
            "telephone_number": "201-820-2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOADI",
        "first_name": "SELINA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00762700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.