| Taylor Boulos, APN | |
|
17 Alden Ter, Little Silver, NJ 07739-1001 | |
| (732) 533-3593 | |
| Not Available |
| Full Name | Taylor Boulos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 17 Alden Ter, Little Silver, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356820823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00803300 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Wellness | 2163436148 | 10 |
| Shaan Chiro Llc | 9739544313 | 3 |
| Entity Name | Advanced Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326053273 PECOS PAC ID: 2163436148 Enrollment ID: O20060130000098 |
| Entity Name | Shaan Chiro Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871291773 PECOS PAC ID: 9739544313 Enrollment ID: O20230504000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Boulos, APN 17 Alden Ter, Little Silver, NJ 07739-1001 Ph: () - | Taylor Boulos, APN 17 Alden Ter, Little Silver, NJ 07739-1001 Ph: (732) 533-3593 |
Jessica Kirby-smith, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Sycamore Ave Ste 3d, Little Silver, NJ 07739 Phone: 732-838-9326 Fax: 732-605-5858 | |
Joan Doyle, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 34 Sycamore Ave Ste 2a, Little Silver, NJ 07739 Phone: 732-747-9310 Fax: 732-747-9320 | |
Julia Constantine, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Sycamore Ave Ste 2a, Little Silver, NJ 07739 Phone: 732-747-9310 | |
Laura Mazza, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Sycamore Ave, Little Silver, NJ 07739 Phone: 732-576-8610 Fax: 732-576-8823 | |
Ms. Laurie Sayers Jeffers, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 White Road, Suite 105, Little Silver, NJ 07739 Phone: 732-741-8404 Fax: 732-741-5119 | |
Ian Vimar Quinitio Quintanilla, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 White Rd Ste 201, Little Silver, NJ 07739 Phone: 732-383-7696 |