Active NPI
Jose Luis Boggio, MD
- Internal Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 427979
- Practice address
- 903 Long Point Dr
Erie, PA 16505-5417 - Phone
- (814) 790-4389
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 427979 | PA | Primary |
Addresses
Primary practice location
903 Long Point Dr
Erie, PA 16505-5417
Mailing address
903 Long Point Dr
Erie, PA 16505-5417
Phone (814) 790-4389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180226000664 | PA | Practitioner - Internal Medicine | 5890715213 | Reassigns benefits to 1 organization |
| I20190208002210 | NJ | Practitioner - Internal Medicine | 5890715213 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care, Inc.
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700
530 High St N
Millville, NJ 08332-3009
Phone (856) 451-4700
715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone (856) 451-4700
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 451-4700
785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700
Hospital & facility affiliations
- Bayada at Inspira, Home Health and Hospice
- Inspira Medical Center Vineland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 427979 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Community Health Care, Inc. | Internal Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Inspira Medical Centers, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Marshfield Clinic Inc | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
715 Delsea Dr N
Ste 3
Glassboro, NJ 08028
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
785 W Sherman Ave
Vineland, NJ 08360
3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258
75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055
549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005
1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500
1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005
5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600
800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200
Interoperability endpoints
- jose.boggio.p1@direct.cchn.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 16
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.
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Internal Medicine, NJ
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
PA
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Federally Qualified Health Center (FQHC)
- Woodbury, NJ
- NPI 1235535113
-
- Federally Qualified Health Center (FQHC)
- Glassboro, NJ
- NPI 1417309527
-
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1154592459
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1215242516
-
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1316307432
-
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1346342441
-
- Federally Qualified Health Center (FQHC)
- Cape May Court House, NJ
- NPI 1689785610
-
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1699089847
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1720198740
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
-
- Home Health Agency
- Millville, NJ
- NPI 1710340575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1851490577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 LONG POINT DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165055417",
"telephone_number": "814-790-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 LONG POINT DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165055417",
"telephone_number": "814-790-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGIO",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD 427979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.