Individual provider Active NPI

Jose Luis Boggio, MD

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1851490577
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 427979 Issued in PA
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

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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. 126 clinicians

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 Home health agency, Millville, NJ, CCN 317089
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 427979PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jan 28, 2019 Accepting new patients
Alignmed Partners, PC CurrentSince Feb 1, 2018 Accepting new patients
Community Health Care, Inc. Internal Medicine CurrentSince Jan 28, 2019 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

  • Direct secure messaging: jose.boggio.p1@direct.cchn.nextgenshare.com
  • FHIR API: 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.

View all 16

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.