Active NPI
Jenna Lin Boni, APN-C
- Endocrinology, Diabetes & Metabolism Physician
- Cedar Knolls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 26NJ01066100
- Practice address
- 210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121 - Phone
- (973) 240-5000
- Fax
- (973) 765-9366
- NPI assigned
- Oct 15, 2020
- Last updated
- Apr 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01066100 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01066100 | NJ | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 26NJ01066100 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 26NJ01066100 | NJ | Primary |
Addresses
Primary practice location
210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121
Mailing address
210 Malapardis Rd Ste 202
Cedar Knolls, NJ 07927-1121
Phone (973) 240-5000
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Malapardis Rd
Suite 202
Cedar Knolls, NJ 07927-1121
Phone (973) 765-9413
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01066100 | NJ | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storch Nutritional Medicine Associates,PA | Current | Accepting new patients | |
| Metabolic Care Associates P.a. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
210 Malapardis Rd
Ste 202
Cedar Knolls, NJ 07927
Phone (973) 240-5000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Cedar Knolls, NJ
- NPI 1558978577
-
dba Advanced Metabolic & Functional Medicine Center
- Internal Medicine Physician
- Cedar Knolls, NJ
- NPI 1336295419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1902404486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MALAPARDIS RD STE 202",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271121",
"telephone_number": "973-240-5000",
"fax_number": "973-765-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MALAPARDIS RD STE 202",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271121",
"telephone_number": "973-240-5000",
"fax_number": "973-765-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONI",
"first_name": "JENNA LIN",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ01066100",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ01066100",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NJ",
"license": "26NJ01066100",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "26NJ01066100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.