John Boulos, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00315100 Issued in NJ

Practice address

610 Cranbury Rd Ste B
East Brunswick, NJ 08816-4030

Phone

(732) 979-2035

Fax

(732) 955-6217

NPI assigned

Nov 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Foot and Ankle IncGroup PAC ID 4082878582, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score

67.46 of 100Reported as group

Quality

27.96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Foot and Ankle, Inc

  dba Dr. Big Foot

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
  • NPI 1518224773
  Medicare reassignment Care Compare group NPD
• Cardiology and Vascular Consultants of New Jersey

  • Cardiovascular Disease Physician
  • Maplewood, NJ
  • NPI 1629391180
  NPD (past)
• The Martin and Edith Stein Hospice

  • Community Based Hospice Care Agency
  • Somerset, NJ
  • NPI 1336125459
  NPD (past)

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

• HMH Hospitals Corporation

  dba Raritan Bay Medical Center-Old Bridge

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1790029072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CRANBURY RD STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164030",
            "telephone_number": "732-979-2035",
            "fax_number": "732-955-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CRANBURY RD STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164030",
            "telephone_number": "732-979-2035",
            "fax_number": "732-955-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Union Beach",
            "state": "NJ",
            "postal_code": "077351424",
            "country_code": "US",
            "telephone_number": "732-979-2035",
            "fax_number": "732-955-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULOS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00315100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizabeth A Borrell-Demaio, PT
• Boston Brace International Inc. (OP Specialty Bracing)
• Nardin Botros
• Nashed G. Botros, MD
• Andrew Boulos, PHARM.D.
• Julie Bourne, PA-C
• Nesrine Bouziane Belhadj, M.A. LAMFT
• Jeffrey Bowden, LCSW
• John Andrew Bowe Jr., M.D.
• Richard Joseph Bowe, LPC , LCADC

• Foot & Ankle Surgery Podiatrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.