MICHELE BOONSTRA


Address: 92 Second St, Hackensack, NJ 07601
Phone: 5519965900

MICHELE BOONSTRA (NPI# 1659793875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659793875
Entity Type Individual
Full Name MICHELE BOONSTRA
Credential MSN, NP-C
Practice Address 92 Second St
Hackensack
NJ 07601
Practice Telephone 5519965900
Mailing Telephone 5519965900
Enumeration Date 2014-01-07
Last Update Date 2014-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00467100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 92 SECOND ST
City HACKENSACK
State NJ
Zip Code 07601

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1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609476761 Remya Uthup Nurse Practitioner 240 Main St Apt 418, Hackensack, NJ 07601-5745 2020-10-28
1821518101 Carol Jacqueline Rios Nurse Practitioner 92 2nd St Ste 420, Hackensack, NJ 07601-2191 2017-06-27
1811324247 Lillian Rose Tahan Nurse Practitioner 241 Moore St Ste 101, Hackensack, NJ 07601-7533 2013-09-30
1598015687 Samantha Michelle Weber Nurse Practitioner 92 2nd St Ste 340, Hackensack, NJ 07601-2191 2012-09-15
1194939652 Phyllis Mckiernan Nurse Practitioner 20 Prospect Ave Ste 400, Hackensack, NJ 07601-1941 2007-05-10
1700926201 Elizbeth Maria Engel-riggi Nurse Practitioner 90 Prospect Ave Apt 3f, Hackensack, NJ 07601-1918 2007-02-07
1629675616 Jena Marie Ahmed Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-10-03
1265076152 Samantha Tritt Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2019-11-04
1386293413 Sana Ahmed Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2019-09-11
1164076840 Lori A Cappello Nurse Practitioner 92 2nd St, Hackensack, NJ 07601-2191 2019-07-30
Find all providers in HACKENSACK

Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

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.

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