DR. OLIVEIA BOUTROS DPM
NPI 1871296186
Podiatrist - Foot & Ankle Surgery in Hackensack, NJ

Active since March 24, 2023PECOS Enrolled
211 ESSEX ST STE 405, HACKENSACK, NJ 07601(732) 421-6907 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Aug 24, 2023, Aug 14, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Oliveia Boutros Dpm NPPES

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

DR. OLIVEIA BOUTROS DPM (NPI 1871296186) is an individual foot & ankle surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MD00390900) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1871296186
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. OLIVEIA BOUTROSCredential: DPM
Location Address211 ESSEX ST STE 405Hackensack, NJ 07601-3247
Mailing Address211 Essex St Ste 405Hackensack, NJ 07601-3247 · (732) 421-6907
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2023
Enumeration DateMarch 24, 2023
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1871296186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00390900
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 25MD00390900 (NJ)
211 ESSEX ST STE 405, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Oliveia Boutros Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274004353
PECOS Enrollment IDI20260609003839
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.

Medicare Billing Reassignment

Medicare enrollment records show Oliveia Boutros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
211 ESSEX ST STE 405
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Podiatrist
211 ESSEX ST STE 405
HACKENSACK,, NJ 07601
Podiatrist
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Podiatrist (Foot & Ankle Surgery)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Psychiatry & Neurology (Neurology)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Podiatrist (Foot & Ankle Surgery)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601

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 Oliveia Boutros's NPI number?

The NPI number for Oliveia Boutros is 1871296186. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Oliveia Boutros located?

Oliveia Boutros practices at 211 Essex St Ste 405, Hackensack, NJ 07601. The listed phone number is (732) 421-6907.

What is Oliveia Boutros's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Oliveia Boutros enrolled in Medicare?

Yes. Oliveia Boutros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Oliveia Boutros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oliveia Boutros reassigns Medicare benefits to Mina Abadeer DPM PC (Hackensack, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oliveia Boutros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Oliveia Boutros was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.