BRYAN BOCCO (APN) – Family Nurse Practitioner, NPI 1154750990

Family Nurse Practitioner

BRYAN BOCCO (APN) is a healthcare provider. based in Clark, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00471600 (NJ). The NPI Number for BRYAN BOCCO (APN) is 1154750990

Main info

Male

13 Years Of Experience

Accepts Medicare Assignment

Name

BRYAN BOCCO (APN)

NPI

1154750990

Phone

(732) 259-2593

Address

51 HUTCHINSON ST

Enumeration Date

2 November 2013

Last Update Date

31 December 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2013 (13 years ago)

PAC ID

5890017974

Group Practice PAC ID

8527142439

Professional Enrollment ID

I20141126000941

Address ID

NJ079282102CH471XXSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness85

Years active:12State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for BRYAN BOCCO (APN)

51 HUTCHINSON ST
CLARK, NJ 070661725
Phone: (732) 259-2593
Type: Mailing
47 STARLITE DR
CLARK, NJ 070662926
Phone: (732) 259-2593
Type: Mailing
2440 HAMBURG TPKE
WAYNE, NJ 074706226
Phone: (973) 839-3400
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20141126000941	I	Nurse Practitioner	NJ	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8527142439View full group profile

Name	Specialty	State
JESLEEN LAMOTHE (APN)	-	NJ
MRS. NICKESHA LATOYA RITCHIE (APN-C)	-	NJ
LEEMA MATHEWS (APN)	Nurse Practitioner	NJ
MR. HELDER TIAGO MENDES (APN)	-	NJ
MS. ADORACION BRIONES CHAO (APN-C)	Nurse Practitioner	NJ
JOANAH ZEITOUN (FNP-C)	-	NJ
MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP)	-	NJ
DEBBIE LEE LAWLOR (RN MSN ANPC)	Nurse Practitioner	NJ
MISS INDIRA MICHELLE CHANDLER	-	NJ
FLORENCE E SNYDER (MSN, CRNP)	-	NJ

Reviews

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Frequently asked questions

What number should I use to identify BRYAN BOCCO (APN) for billing?

Administrative and clinical systems typically use NPI 1154750990 for BRYAN BOCCO (APN).

Is BRYAN BOCCO (APN) currently accepting referrals based on NPI status?

Registry metadata lists BRYAN BOCCO (APN) as active.

What does the directory say BRYAN BOCCO (APN) does?

Insurance directories may phrase it differently, but here BRYAN BOCCO (APN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is BRYAN BOCCO (APN) tied to Clark, New Jersey?

If you are local to Clark, New Jersey, BRYAN BOCCO (APN) may be relevant to your search.

Why is information missing for BRYAN BOCCO (APN)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.