MEDICARE: IZA M BOESLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	25MA6861200	NJ
2	207R00000X	Internal Medicine Physician	25MA06861200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366449795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IZA M BOESLER MD

Provider Business Mailing Address
First Line	:	160 WHITE RD STE 201
Second Line	:
City	:	LITTLE SILVER
State	:	NJ
Zip	:	07739-1167
Country	:	US
Telephone Number	:	732-440-8187
Fax Number	:	732-314-7402

Provider Business Practice Location Address
First Line	:	160 WHITE RD STE 201
Second Line	:
City	:	LITTLE SILVER
State	:	NJ
Zip	:	07739-1167
Country	:	US
Telephone Number	:	732-440-8187
Fax Number	:	732-314-7402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/11/2021

Similar Medicare Providers

1932697539 — CODY BELLO PT, DPT
Practice Location Address:

160 WHITE RD STE 104
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-383-8295
Practice Fax:

1639642374 — PRIME PHYSICAL THERAPY & SPORTS CARE LLC
Practice Location Address:

160 WHITE RD STE 104
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-383-8295
Practice Fax: 732-383-8370

1699305482 — FFC SLEEP, LLC
Practice Location Address:

160 WHITE RD STE 201
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-440-8187
Practice Fax: 732-314-7402

1437898905 — TATYANA FAST MD PC
Practice Location Address:

160 WHITE RD STE 102
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-450-0062
Practice Fax: 732-450-0616

1295417418 — MRS. DONNA CASTELLANO RDN
Practice Location Address:

160 WHITE RD STE 102
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-450-0062
Practice Fax:

1558170803 — ALEXA DESANTIS PT, DPT
Practice Location Address:

160 WHITE RD STE 104
LITTLE SILVER, NJ
07739-1167

Practice Phone: 732-383-8295
Practice Fax:

Directions to “ IZA M BOESLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.