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John M Boozan MD PA

NPI 1427102326ActiveOrganization· Specialist· Summit, NJ

Specialist in Summit, New Jersey, registered in NPPES in January 2007. The authorized official on file is John M. Boozan, Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1427102326
StatusActive
Entity typeOrganization
NPI issuedJan 22, 2007
Last updated in NPPESJul 26, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XMA 46669NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

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