Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043316565 Individual Practitioner Female Practitioner

Dr. Mona Boulos , MD

Pediatrics • Jersey City, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Mona Boulos, MD is a registered healthcare professional specializing in Pediatrics in Jersey City, NJ. Practice services are available at 2780 KENNEDY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2780 Kennedy Blvd

Jersey City, NJ 07306

Telephone 2012397777
Fax 2012390070
Associated Practice Facility / Clinic
🏢 Finest Care Inc. Facility NPI 1518390715

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jersey City, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
44 Specialists

Practicing in Jersey City, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA06214600

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7186703 (NJ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2012

Registered at 2780 KENNEDY BLVD, JERSEY CITY, NJ 07306 (Tel: 2012397777)

📍
Updated Business Mailing Address January 18, 2012

Registered at 3171 ROUTE 9 N, SUITE 313, OLD BRIDGE, NJ 088572690 (Tel: 2012397777)

👤
Provider Name / Credentials Updated January 18, 2012

Recorded as MONA BOULOS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2012

Pediatrics (License #25MA06214600 in NJ)

🟢
Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043316565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: January 18, 2012
Sole Proprietor: No

Mailing Address

3171 Route 9 N, Suite 313

Old Bridge, NJ 088572690

Phone: 2012397777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.