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LAURA BOULOS DO
NPI 1730695222
Pediatrics - Pediatric Cardiology in Old Bridge, NJ

Active since December 19, 2017PECOS Enrolled
69 COUNTY RD 516, OLD BRIDGE, NJ 08857(732) 475-2150(732) 475-2112 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 2, 2021, Dec 19, 2017 (2 updates tracked since 2017).

About Laura Boulos Do NPPES

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

LAURA BOULOS DO (NPI 1730695222) is an individual pediatric cardiology provider in Old Bridge, New Jersey, licensed in New Jersey (25MB10356200) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730695222
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameLAURA BOULOSCredential: DO
Location Address69 COUNTY RD 516Old Bridge, NJ 08857-1416
Mailing Address69 County Rd 516Old Bridge, NJ 08857-1416 · (732) 475-2150 · Fax (732) 475-2112
Phone(732) 475-2150
Fax(732) 475-2112
Sole ProprietorNo
Enumeration DateDecember 19, 2017
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1730695222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NJ · 25MB10356200
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
69 COUNTY RD 516, Old Bridge, NJ 08857
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Boulos Do 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.

Other Providers at the Same Location NPPES

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

CENTER FOR FAMILY MEDICINE,PA
Family Medicine
69 COUNTY RD 516
OLD BRIDGE, NJ 08857
Middlesex County (732) 254-1515

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 Laura Boulos's NPI number?

The NPI number for Laura Boulos is 1730695222. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Laura Boulos located?

Laura Boulos practices at 69 County Rd 516, Old Bridge, NJ 08857. The listed phone number is (732) 475-2150.

What is Laura Boulos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Laura Boulos enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laura Boulos was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.