DR. JAAP-JAN BOELENS MD, PHD
NPI 1902466949
Pediatrics - Pediatric Hematology-Oncology in New York, NY

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(212) 629-8478 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2020, Jun 20, 2019 (2 updates tracked since 2019).

About Dr. Jaap-jan Boelens Md, Phd NPPES

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

DR. JAAP-JAN BOELENS MD, PHD (NPI 1902466949) is an individual pediatric hematology-oncology provider in New York, New York, licensed in New York (299511) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1902466949
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. JAAP-JAN BOELENSCredential: MD, PHD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1233 York Ave # 417New York, NY 10065-6306 · (212) 639-3641
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 20, 2019
Last NPPES UpdateFebruary 11, 20202 updates tracked since enumeration
✔ NPI 1902466949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NY · 299511
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1275 YORK AVE, New York, NY 10065

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaap-jan Boelens Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577893601
PECOS Enrollment IDI20191002002757
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 Jaap-jan Boelens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 220 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 20

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

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Jaap-jan Boelens's NPI number?

The NPI number for Jaap-jan Boelens is 1902466949. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Jaap-jan Boelens located?

Jaap-jan Boelens practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 629-8478.

What is Jaap-jan Boelens's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Jaap-jan Boelens enrolled in Medicare?

Yes. Jaap-jan Boelens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jaap-jan Boelens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaap-jan Boelens reassigns Medicare benefits to Memorial Pediatric Group (New York, NY). 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 Jaap-jan Boelens'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 Jaap-jan Boelens was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.