Jamie Lynn Boman, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00394500 Issued in NJ

Practice address

30 Prospect Ave
Hackensack, NJ 07601-1914

Phone

(201) 996-3283

NPI assigned

Sep 17, 2012

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Female

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 NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jboman1253668@direct.novanthealth.org

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.

• Lower Cape Fear Hospice, Incorporated

  dba Lower Cape Fear LifeCare

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wilmington, NC
  • NPI 1790258234
  Medicare reassignment NPD

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1831449842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HEMLOCK ST",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452306",
            "telephone_number": "201-248-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00394500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Victoria Bodeker, DMD
• Kenneth Alan Bodkin, AU.D.
• Body Shop Physical Therapy and Wellness LLC
• Adam R Bogomol, M.D.
• Marie Bolona
• Elizabeth Mary Bonarigo, DPM
• Kimberly Bonica, ACNPC-AG
• Madeline Bonilla
• Vanessa Bonilla, LAC
• Nelo Bonocan, PT

• Adult Health Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.