DR. MINA BOULOS M.D., D.M.D.
NPI 1386177848
Dentist - Oral and Maxillofacial Surgery in Westwood, NJ

Q: What is Mina Boulos's NPI number?

The NPI number for Mina Boulos is 1386177848. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Mina Boulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Mina Boulos was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 April 11, 2017PECOS Enrolled

260 OLD HOOK RD BLDG SUITE202, WESTWOOD, NJ 07675(978) 821-3822 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2019, Apr 11, 2017 (2 updates tracked since 2017).

On this page

About Dr. Mina Boulos M.d., D.m.d. NPPES

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

DR. MINA BOULOS M.D., D.M.D. (NPI 1386177848) is an individual oral and maxillofacial surgery provider in Westwood, New Jersey, licensed in New Jersey (22DI03026500) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386177848

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MINA BOULOSCredential: M.D., D.M.D.

Location Address260 OLD HOOK RD BLDG SUITE202Westwood, NJ 07675-3123

Mailing Address320 Adolphus Ave Apt 1411Cliffside Park, NJ 07010-2856 · (978) 821-3822

Phone(978) 821-3822

Sole ProprietorYes

Enumeration DateApril 11, 2017

Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1386177848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NJ · 22DI03026500

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

260 OLD HOOK RD BLDG SUITE202, Westwood, NJ 07675

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mina Boulos M.d., D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07675 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. JOSHUA Z GENUTH DMD

Dentist (Oral and Maxillofacial Surgery)

260 OLD HOOK RD BLDG SUITE202
WESTWOOD, NJ 07675

Bergen County (212) 263-5506

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 Mina Boulos's NPI number?

The NPI number for Mina Boulos is 1386177848. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Mina Boulos located?

Mina Boulos practices at 260 Old Hook Rd Bldg Suite202, Westwood, NJ 07675. The listed phone number is (978) 821-3822.

What is Mina Boulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mina Boulos enrolled in Medicare?

Yes. Mina Boulos is registered in the Medicare PECOS enrollment system.

What insurance does Mina Boulos accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Mina Boulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mina Boulos was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.