MRS. MONA BOULOS MD
NPI 1043316565
Pediatrics in Jersey City, NJ

Q: What is Mona Boulos's NPI number?

The NPI number for Mona Boulos is 1043316565. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Mona Boulos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mona Boulos was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2006

2780 KENNEDY BLVD, JERSEY CITY, NJ 07306(201) 239-7777(201) 239-0070 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Mona Boulos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MONA BOULOS MD (NPI 1043316565) is an individual pediatrics provider in Jersey City, New Jersey, licensed in New Jersey (25MA06214600) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1043316565

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. MONA BOULOSCredential: MD

Location Address2780 KENNEDY BLVDJersey City, NJ 07306

Mailing Address3171 Route 9 N, Suite 313Old Bridge, NJ 08857-2690 · (201) 239-7777 · Fax (201) 239-0070

Phone(201) 239-7777

Fax(201) 239-0070

Sole ProprietorNo

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJanuary 18, 2012

✔ NPI 1043316565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA06214600

Definition

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.

2780 KENNEDY BLVD, Jersey City, NJ 07306

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Other Identifiers 1

Medicaid7186703NJ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mona Boulos's NPI number?

The NPI number for Mona Boulos is 1043316565. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mona Boulos located?

Mona Boulos practices at 2780 Kennedy Blvd, Jersey City, NJ 07306. The listed phone number is (201) 239-7777.

What is Mona Boulos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mona Boulos was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.