JAY B BOSNIAK MD PA (NPI# 1629117239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629117239 |
| Entity Type | Organization |
| Organization Name | JAY B BOSNIAK MD PA |
| Practice Address |
143 Pavilion Ave Long Branch NJ 07740-6415 |
| Practice Telephone | 7322297440 |
| Practice Fax Number | 7322292149 |
| Mailing Telephone | 7322297440 |
| Mailing Fax Number | 7322292149 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-06-24 |
| Authorized Official Name | DR. JAY B BOSNIAK (CEO) |
| Authorized Official Telephone | 7322297440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 25MA02566100 | NJ | Other Service Providers |
| Street Address |
143 PAVILION AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346653607 | Jay Bosniak | Specialist | 143 Pavilion Ave, Long Branch, NJ 07740-6415 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992741326 | Carlos Gallegos Rivera | Legal Medicine | 9 Memorial Pkwy, Long Branch, NJ 07740-6701 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224811 | Mdusa | Legal Medicine | 244 Broad Ave, 2nd Floor, Palisades Park, NJ 07650-1552 | 2013-10-29 |
| 1245539261 | Ronald Victor Suarez | Legal Medicine | 27 Britten Rd, Green Village, NJ 07935-3001 | 2011-03-16 |
| 1366760373 | Stacey Melissa Blackman | Legal Medicine | 9 Wayne Ave, East Orange, NJ 07018 | 2010-05-14 |
| 1427296771 | Martin Clay Lewis | Legal Medicine | 47 Van Lieus Rd, Ringoes, NJ 08551-1314 | 2009-01-24 |
| 1386829778 | 347 Lyons Avenue Medical Center LLC | Legal Medicine | 347 Lyons Ave, Newark, NJ 07112-1440 | 2008-01-03 |
| 1043432925 | Mark James Bartiss | Legal Medicine | 24 Nautilus Dr Ste 5, Manahawkin, NJ 08050-2490 | 2007-05-02 |
| 1891829305 | A Better Choice | Legal Medicine | 108 Garnett Ln, Egg Harbor Township, NJ 08234-5959 | 2007-03-15 |
| 1881732162 | Genitourinary Surgeons of New Jersey Pa | Legal Medicine | 211 Courtyard Dr, Hillsborough, NJ 08844-4247 | 2007-02-01 |
| 1285771816 | Apollo Medical Associates, P.C. | Legal Medicine | 148 Parsippany Rd, Apollo Medical Center, Parsippany, NJ 07054 | 2007-01-31 |
| 1588719587 | Joseph L Mosquera | Legal Medicine | 137 Prospect St, Newark, NJ 07105-1712 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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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.