MR. BRIAN W. BOOCKOFF PA-C
NPI 1326312430
Physician Assistant - Surgical in Woodbury, NJ

Active since March 07, 2012
414 TATUM ST, WOODBURY, NJ 08096(856) 848-3880(856) 848-4895 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian W. Boockoff Pa-c NPPES

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

MR. BRIAN W. BOOCKOFF PA-C (NPI 1326312430) is an individual surgical provider in Woodbury, New Jersey, licensed in New Jersey (25MP00280500) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1326312430
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRIAN W. BOOCKOFFCredential: PA-C
Location Address414 TATUM STWoodbury, NJ 08096-3499
Mailing Address500 Grove St, Suite 100Haddon Heights, NJ 08035-1761 · (856) 796-9200 · Fax (856) 796-9397
Fax(856) 848-4895
Sole ProprietorNo
Enumeration DateMarch 7, 2012
Last NPPES UpdateApril 3, 2014
NPI 1326312430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00280500
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 25MP00280500 (NJ)
414 TATUM ST, Woodbury, NJ 08096

Other Identifiers 1

Medicare PIN336082AQV

Other Providers at the Same Location NPPES 9

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

Physical Therapist
414 TATUM ST
WOODBURY, NJ 08096
Registered Nurse
414 TATUM ST
WOODBURY, NJ 08096
Orthopaedic Surgery
414 TATUM ST
WOODBURY, NJ 08096
Specialist
414 TATUM ST
WOODBURY, NJ 08096
Clinic/Center (Rehabilitation, Substance Use Disorder)
414 TATUM ST
WOODBURY, NJ 08096
Physician Assistant
414 TATUM ST
WOODBURY, NJ 08096
Specialist/Technologist (Athletic Trainer)
414 TATUM ST
WOODBURY, NJ 08096
Registered Nurse
414 TATUM ST
WOODBURY, NJ 08096

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 Brian Boockoff's NPI number?

The NPI number for Brian Boockoff is 1326312430. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Brian Boockoff located?

Brian Boockoff practices at 414 Tatum St, Woodbury, NJ 08096. The listed phone number is (856) 848-3880.

What is Brian Boockoff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Brian Boockoff was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.