JASON PETER BOULWARE (NPI# 1013211168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013211168 |
| Entity Type | Individual |
| Full Name | JASON PETER BOULWARE |
| Credential | D.O. |
| Practice Address |
2353 Hughes Ave Apt 1a Bronx NY 10458-8267 |
| Mailing Address |
515 Valley St Ste 203 Maplewood NJ 07040-4300 |
| Practice Telephone | 6467374364 |
| Mailing Telephone | 9086632929 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 259532-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2353 HUGHES AVE APT 1A |
| City | BRONX |
| State | NY |
| Zip Code | 10458-8267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927701 | Darnell Cain | Emergency Medicine | 3411 Wayne Ave Fl 6, Bronx, NY 10467-2552 | 2016-04-14 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1295117950 | Neil Flannery Haidorfer | Emergency Medicine | 3450 Wayne Ave Apt 9c, Bronx, NY 10467-2511 | 2015-06-18 |
| 1619310125 | Adelle Sharon Iusim | Emergency Medicine | 1400 Pelham Pkwy S Bldg 6, Bronx, NY 10461 | 2013-04-15 |
| 1174882757 | Mary Agnes Newell | Emergency Medicine | 183rd St. and Third Ave., St. Barnabas Hospital Emergency Department, Bronx, NY 10457 | 2012-05-16 |
| 1407120645 | Andrew Roy Williams | Emergency Medicine | 1400 Pelham Pkwy South. Building 6 Suite 1b25, Jacobi Medical Center Emergency Dept., Bronx, NY 10461-1138 | 2012-03-06 |
| 1336427517 | Jeremy Moriarty | Emergency Medicine | 600 E 233rd St Dept of Emergency Medicine, Bronx, NY 10466-2604 | 2011-07-22 |
| 1154618353 | Jordana Kritzer | Emergency Medicine | 600 E 233rd St Fl 2, Bronx, NY 10466-2604 | 2011-07-07 |
| 1568774313 | Carol Gleeson | Emergency Medicine | 4238 Vireo Ave, Bronx, NY 10470-2412 | 2010-07-09 |
| 1518284157 | Edward Djan-kwansa | Emergency Medicine | 2228 Boller Ave, 2nd Floor, Bronx, NY 10475-5502 | 2010-04-21 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.