MICHELLE BOSTIC (NPI# 1619300456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619300456 |
| Entity Type | Individual |
| Full Name | MICHELLE BOSTIC |
| Credential | APN-C |
| Practice Address |
750 Brunswick Ave Neuroscience Office Trenton NJ 08638-4143 |
| Mailing Address |
3131 Princeton Pike Bldg 5 Suite 208 Lawrenceville NJ 08648 |
| Practice Telephone | 6093946000 |
| Mailing Telephone | 6098157829 |
| Mailing Fax Number | 6098157894 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00437900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 BRUNSWICK AVE NEUROSCIENCE OFFICE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08638-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465656 | Kelly M. Laverdure | Family Medicine | 750 Brunswick Ave, Trenton, NJ 19178-8567 | 2005-05-23 |
| 1477153450 | Thomas Wieczenski | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-28 |
| 1487252979 | Ashley Yeh | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-15 |
| 1821604380 | Steven Chen | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-09-21 |
| 1669081063 | Reena R Concepcion | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-07-31 |
| 1851915649 | Matthew M Rydlewski Jr. | Emergency Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-06-08 |
| 1518588243 | Sally Johnson | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-05-05 |
| 1356961882 | Maksym Palii | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-24 |
| 1669092250 | Amy Theresa Pulikeyil | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-23 |
| 1720607260 | Mayilathal Vasudevan | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440359 | Jeannette Oliveras | Nurse Practitioner | 218 North Broad St., Trenton, NJ 08609 | 2019-08-01 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1629432315 | Liqin Zhang | Nurse Practitioner | 2065 Klockner Rd., Trenton, NJ 08690 | 2016-04-08 |
| 1023447695 | Jerry Idiculla Chandy | Nurse Practitioner | 1675 Kingsway Ct Ste 1, Trenton, MI 48183-1958 | 2013-11-05 |
| 1346444239 | Carolyn Elaine Lewis-spruill | Nurse Practitioner | 218 N Broad St, Trenton, NJ 08608-1306 | 2007-06-13 |
| 1326010034 | David Bokor | Nurse Practitioner | 383 W State St, Trenton, NJ 08618-5705 | 2006-02-06 |
| 1043753502 | Staci Damiani | Nurse Practitioner | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2016-11-30 |
| 1326477084 | Laura Fodor | Nurse Practitioner | 3851 West Rd, Suite 2, Trenton, MI 48183-2350 | 2013-11-04 |
| 1235437831 | Lisa Ranea Dugas | Nurse Practitioner | 3700 West Rd, Trenton, MI 48183-2243 | 2011-03-05 |
| 1235397605 | Baaba Forson | Nurse Practitioner | 321 N Warren St, Trenton, NJ 08618-4741 | 2008-06-01 |
| Find all providers in TRENTON | ||||
Please comment or provide details below to improve the information on MICHELLE BOSTIC.
| 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.