Individual provider Active NPI

Linda Bosworth, APN-BC

  • Family Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1790842995
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN06770000 Issued in NJ
Practice address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone
(732) 745-8600
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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 26NN06770000 NJ Primary

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901-1766

Mailing address

211 Brook Dr
Milltown, NJ 08850-1467
Phone (732) 317-4856

Other identifiers 1

IdentifierTypeStateIssuer
0157937MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000174 NJ Practitioner - Nurse Practitioner 2860434941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

240 Easton Ave
TRD FL Attn Man Care
New Brunswick, NJ 08901-1723
Phone (732) 565-5453

294 Applegarth Rd
Suite a
Monroe, NJ 08831-3809
Phone (609) 409-1363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince May 1, 2007 Accepting new patients
Saint Peter'S University Hospital CurrentSince May 1, 2007 Accepting new patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Jul 1, 2014 Accepting new patients
North Edison Family Practice Group, LLC Past Accepting new patients
Central Jeresy Nephorology Past Accepting new patients

Locations

294 Applegarth Rd
Ste A
Monroe, NJ 08831
Phone (609) 409-1363

2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: linda.bosworth.2@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1790842995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROOK DR",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501467",
            "telephone_number": "732-317-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN06770000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157937",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.