Active NPI
Jennie Boyle, FNP-C
- Nurse Practitioner
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NR12940500
- Practice address
- 970 Hooper Ave # 2
Toms River, NJ 08753-8319 - Phone
- (732) 228-4146
- NPI assigned
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NR12940500 | NJ | Primary |
Addresses
Primary practice location
970 Hooper Ave # 2
Toms River, NJ 08753-8319
Mailing address
970 Hooper Ave # 2
Toms River, NJ 08753-8319
Phone (732) 228-4146
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150407002173 | NJ | Practitioner - Nurse Practitioner | 6002134830 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR12940500 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Mental Health Services Inc | Current | Accepting new patients | |
| Bright Harbor Primary Care | Current | Accepting new patients | |
| Island Medical Professional Association | Current | Accepting new patients | |
| South Jersey Mindset | Current | Accepting new patients | |
| Dhiren Gandhi Family Practice LLC | Past | Accepting new patients |
Locations
160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977
160 Atlantic City Blvd
Ste 2
Bayville, NJ 08721
Phone (732) 575-1482
687 Route 9
Bayville, NJ 08721
Phone (732) 269-4849
1812 Long Beach Blvd
Ship Bottom, NJ 08008
Phone (609) 226-3007
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayville, NJ
- NPI 1508884347
NJ
-
- Psychiatry Physician
- Lanoka Harbor, NJ
- NPI 1811850837
-
- Family Medicine Physician
- Little Egg Harbor TWP, NJ
- NPI 1942162151
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bright Harbor Primary CareOcean Mental Health Services Inc
Practice addresses (Care Compare)
160 Atlantic City Blvd
Suite 2
Bayville, NJ 08721-1229
Phone (732) 575-1482
160 Route 9
Bayville, NJ 08721-1229
Phone 7323491977128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1831592583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 HOOPER AVE # 2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538319",
"telephone_number": "732-228-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 HOOPER AVE # 2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538319",
"telephone_number": "732-228-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "JENNIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NR12940500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.