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DR. MATTHEW BOULIS MD
NPI 1245252394
Pediatrics in Cinnaminson, NJ

Active since July 24, 2006
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077(856) 829-5545(856) 829-9268 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Boulis Md NPPES

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

DR. MATTHEW BOULIS MD (NPI 1245252394) is an individual pediatrics provider in Cinnaminson, New Jersey, licensed in New Jersey (MA22830) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1245252394
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATTHEW BOULISCredential: MD
Location Address2099 NEW ALBANY RDCinnaminson, NJ 08077
Mailing Address2099 New Albany RdCinnaminson, NJ 08077 · (856) 829-5545 · Fax (856) 829-9268
Phone(856) 829-5545
Fax(856) 829-9268
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245252394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · MA22830✔ Licensed in PA · MD-007664-E
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.
2099 NEW ALBANY RD, Cinnaminson, NJ 08077
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Other Identifiers 3

Medicaid2381605NJ
Medicare UPINH60057
Medicare ID-Type Unspecified056522

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE AHR MD
Pediatrics
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (856) 829-5545
MELISSA RICHART PA-C
Physician Assistant
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (609) 926-8899
MS. GABRIELLE MARIE BRUNO PA
Physician Assistant
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (609) 926-8899
DR. MARK HUMMEL MD
Pediatrics
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (856) 829-5545
DR. DEBRA WEISSBACH MD
Pediatrics
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (856) 829-5545
VICTORIA AVERY PA-C
Physician Assistant
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (856) 772-1333
SOPHIE SOUFLIS
Nurse Practitioner (Family)
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (609) 926-8899
JACQUELINE KALIS BOHANKO PA-C
Physician Assistant (Medical)
2099 NEW ALBANY RD
CINNAMINSON, NJ 08077
Burlington County (099) 268-8996

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 Matthew Boulis's NPI number?

The NPI number for Matthew Boulis is 1245252394. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Matthew Boulis located?

Matthew Boulis practices at 2099 New Albany Rd, Cinnaminson, NJ 08077. The listed phone number is (856) 829-5545.

What is Matthew Boulis'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 Matthew Boulis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.