Dr. Joseph Boodin , MD
Specialist • Upper Montclair, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Boodin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Joseph Boodin, MD was a registered Specialist practicing in Upper Montclair, NJ. Throughout an active medical career spanning 19 years, Dr. Boodin provided care at the practice location at 338 N MOUNTAIN AVE until profile deactivation on 2025-06-19.
Practice Location & Contact Primary Location
338 N Mountain Ave
Upper Montclair, NJ 070431020
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Upper Montclair, NJ
Practicing in Upper Montclair, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2025
NPI status registered as active in NPPES database
Registered at 338 N MOUNTAIN AVE, UPPER MONTCLAIR, NJ 070431020 (Tel: 9737464641)
Registered at 338 N MOUNTAIN AVE, PO BOX 43665, UPPER MONTCLAIR, NJ 070431020 (Tel: 9737464641)
Recorded as JOSEPH BOODIN, MD
Specialist (License #25MA01674600 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
338 N Mountain Ave, Po Box 43665
Upper Montclair, NJ 070431020
Phone: 9737464641
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