Active NPI
Julie Bohack, APN
- Primary Care Nurse Practitioner
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00512900
- Practice address
- 1346 RT 72 West
Manahawkin, NJ 08050-2485 - Phone
- (609) 597-3416
- Fax
- (609) 488-6341
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00512900 | NJ | Primary |
Addresses
Primary practice location
1346 RT 72 West
Manahawkin, NJ 08050-2485
Mailing address
1346 Route 72
Manahawkin, NJ 08050
Phone (609) 597-3416
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
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
Practice addresses (Care Compare)
506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012
935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012
Hospital & facility affiliations
- Hackensack Meridian at Home Ocean County
- Bayada Home Health Care, Inc
- Southern Ocean Medical Center
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients | |
| Stafford Medical P.a. | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233
Interoperability endpoints
- jbohack76791@direct.optum.com
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
-
- Specialist
- Manahawkin, NJ
- NPI 1710395579
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Whiting, NJ
- NPI 1609264597
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1902204274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 ROUTE 72",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "08050",
"telephone_number": "609-597-3416",
"fax_number": "609-488-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 RT 72 WEST",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502485",
"telephone_number": "609-597-3416",
"fax_number": "609-488-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHACK",
"first_name": "JULIE",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00512900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.