Individual provider Active NPI

Jenna Lin Boni, APN-C

  • Endocrinology, Diabetes & Metabolism Physician
  • Cedar Knolls, NJ
National Provider Identifier
1902404486
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
26NJ01066100 Issued in NJ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214002125 NJ Practitioner - Nurse Practitioner 9335551407 Reassigns benefits to 1 organization

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
Metabolic Care Associates PAGroup PAC ID 1759793565, 2 clinicians

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

LicenseStateTypeSpecialty
26NJ01066100NJMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Storch Nutritional Medicine Associates,PA CurrentSince Apr 27, 2025 Accepting new patients
Metabolic Care Associates P.a. Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2021 Accepting new patients

Locations

210 Malapardis Rd
Ste 202
Cedar Knolls, NJ 07927
Phone (973) 240-5000

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.