DR. JOHN MATTHEW BOOZAN (NPI# 1265436174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265436174 |
| Entity Type | Individual |
| Full Name | DR. JOHN MATTHEW BOOZAN |
| Credential | M.D. |
| Practice Address |
33 Overlook Rd Ste 407 Summit NJ 07901-3564 |
| Practice Telephone | 9082771166 |
| Practice Fax Number | 9082770141 |
| Mailing Telephone | 9082771166 |
| Mailing Fax Number | 9082770141 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA04666900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA/US HEALTHCARE | 40941 | 01 |
| NJ | OXFORD | US 287 | 01 |
| NJ | 3313808 | 05 |
| Street Address |
33 OVERLOOK RD STE 407 |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427618198 | Judith Tracy | Nurse Practitioner | 33 Overlook Rd, Summit, NJ 07901-3570 | 2019-06-15 |
| 1023514833 | Tyler Cody Holsapple | Student in an Organized Health Care Education/Training Program | 33 Overlook Rd, Suite 103, Summit, NJ 07901-3561 | 2018-04-02 |
| 1497207146 | Melanie Novello Smith | Dietitian, Registered | 33 Overlook Rd, Suite L03, Summit, NJ 07901-3570 | 2016-10-28 |
| 1700336807 | Advocare, LLC | Pediatrics | 33 Overlook Rd, Suite 101, Summit, NJ 07901 | 2016-10-12 |
| 1396119152 | Rosemary Smith | Nurse Practitioner | 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 | 2015-11-17 |
| 1215323415 | Glen Berkowitz | Dentist | 33 Overlook Rd, Suite 402, Summit, NJ 07901-3570 | 2015-04-14 |
| 1942615638 | Jeannine Sopko | Registered Nurse | 33 Overlook Rd, Summit, NJ 07901-3570 | 2014-06-22 |
| 1831502806 | Karen Vanessa Macey-stewart | Hospice Care, Community Based | 33 Overlook Rd, Suite 311, Summit, NJ 07901-3570 | 2014-06-08 |
| 1467875286 | Sharon Schuley | Nurse Practitioner | 33 Overlook Rd, Suite L-03, Summit, NJ 07901-3570 | 2014-01-30 |
| 1558799221 | Caeleigh Calvert | Nurse Anesthetist, Certified Registered | 33 Overlook Rd, Suite #311, Summit, NJ 07901-3570 | 2013-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013972322 | David Sandor Hoffman | Ophthalmology | 803 Springfield Ave, Summit, NJ 07901-5110 | 2006-04-19 |
| 1235357310 | David S. Hoffman, M.d.,p.c. | Ophthalmology | 803 Springfield Ave, Summit, NJ 07901-5110 | 2007-04-23 |
| 1679616213 | David Campeas | Ophthalmology | 33 Overlook Rd, #106, Summit, NJ 07901-3570 | 2007-02-14 |
| 1962480780 | Spencer William Rogers | Ophthalmology | 36500 Aurora Dr, Summit, WI 53066-4899 | 2006-01-03 |
| 1366435851 | Kimberly Couture Ireland | Ophthalmology | 36500 Aurora Dr, Summit, WI 53066-4899 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659887 | Alino Eye Care LLC | Ophthalmology | 1 W Ridgewood Ave Ste 204, Paramus, NJ 07652-2362 | 2020-11-03 |
| 1932719267 | Abessi Eye Care & Surgery LLC | Ophthalmology | 3322 Route 22 Ste 503, Branchburg, NJ 08876-4400 | 2020-08-02 |
| 1417565441 | Rosemary B. Albano | Ophthalmology | 8 Louisiana Ct, Long Beach Township, NJ 08008-3180 | 2020-07-15 |
| 1598239196 | Vantage Eyecare, LLC | Ophthalmology | 775 Route 70 E Ste F180, Marlton, NJ 08053-2367 | 2019-01-16 |
| 1578030011 | Invision Eyecare Specialists | Ophthalmology | 1 State Route 70, Lakewood, NJ 08701-5895 | 2018-11-01 |
| 1184128977 | James G Gorman, Jr., D.o., P.a. | Ophthalmology | 102 White Horse Rd W Ste 103, Voorhees, NJ 08043-3610 | 2018-03-19 |
| 1063929545 | New Gw LLC | Ophthalmology | 385 Route 18 Ste H, East Brunswick, NJ 08816-5703 | 2018-01-05 |
| 1477064905 | Nj Eye Consultants | Ophthalmology | 101 Prospect St Ste 102, Lakewood, NJ 08701-5003 | 2017-10-24 |
| 1356860811 | Nj Eye and Ear LLC | Ophthalmology | 17 W Palisade Ave, Englewood, NJ 07631-2705 | 2017-09-15 |
| 1538601380 | Paul Phillips Eye & Surgery Center PC | Ophthalmology | 1 Monroe St, Bridgewater, NJ 08807-3043 | 2016-11-10 |
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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.