Individual provider Active NPI

Paul David Boerem, N.P.

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1861515884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430327 Issued in NY
Practice address
622 West 198TH Street
New York, NY 10032
Phone
(212) 305-4141
NPI assigned
Apr 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430327 NY Primary

Addresses

Primary practice location

622 West 198TH Street
New York, NY 10032

Mailing address

183 Pinehurst Ave Apt 44
New York, NY 10033-1824
Phone (917) 921-6552

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127000763 NJ Practitioner - Nurse Practitioner 2769749977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone (908) 237-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430327NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Sep 26, 2017 Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

215 State Route 31
#116
Flemington, NJ 08822

6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080

Interoperability endpoints

  • Direct secure messaging: pboerem470644@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861515884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 PINEHURST AVE APT 44",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331824",
            "telephone_number": "917-921-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WEST 198TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEREM",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.