Jakob Tietz-Boker

Primary specialty

Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X

License

43ZA00727700 Issued in NJ

Practice address

100 Medical Center Way
Somers Point, NJ 08244-2300

Phone

(609) 653-3500

NPI assigned

Jul 8, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1942046156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300",
            "telephone_number": "609-653-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETZ-BOKER",
        "first_name": "JAKOB",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NJ",
            "license": "43ZA00727700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Centre for Foot & Ankle Care, P.a.
• The Devereux Foundation
• The Ocean City Charter Technical HS F/T Performing Arts
• Andrea Thorp, MD
• Thumbs Uo Hand Therapy
• Ashley Tirelli-Akerlind, APN
• Manpreet Kaur Tiwana, M.D.
• Allison Travers, RD
• Trinity Rehab Somerset PA
• Scott D Tzorfas, M.D.

• Critical Care Registered Respiratory Therapist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Critical Care Registered Respiratory Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.