Healthcare Provider Details

I. General information

NPI: 1841607629
Provider Name (Legal Business Name): GAIL R BOYER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 ESSEX ST STE 100
MILLBURN NJ
07041-1668
US

IV. Provider business mailing address

1 UNIVERSITY PLZ STE 408
HACKENSACK NJ
07601-6204
US

V. Phone/Fax

Practice location:
  • Phone: 973-954-4592
  • Fax: 973-954-4592
Mailing address:
  • Phone: 973-954-4592
  • Fax: 973-954-4592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01341200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: