MICHAEL V. BOSCO – Physician Assistant, NPI 1285209015

MICHAEL V. BOSCO is a healthcare provider. based in Berkeley heights, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 25MP00632600 (NJ). The NPI Number for MICHAEL V. BOSCO is 1285209015

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL V. BOSCO
NPI
1285209015
Phone
(908) 273-4300
Address
1 DIAMOND HILL RD
Enumeration Date
24 May 2021
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013256744
Graduation Year
2021 (5 years ago)
PAC ID
6103223623
Group Practice PAC ID
4688095367
Professional Enrollment ID
I20210927002347
Address ID
NJ070942977SE55XXXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MICHAEL V. BOSCO

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Type: Mailing

  • 1500 PLEASANT VALLEY WAY

    WEST ORANGE, NJ 070522956

    Phone: (973) 669-5600

    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: 2021-09-27

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210927002347IPhysician AssistantNJTBD

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 07922)

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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: 4688095367View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantNJ
-NJ
Nurse PractitionerNJ
-NJ
Physician AssistantNJ

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Frequently asked questions

Does MICHAEL V. BOSCO have a public NPI I can cite?
Public records show MICHAEL V. BOSCO under NPI 1285209015.
Does the public listing show MICHAEL V. BOSCO as active?
MICHAEL V. BOSCO's NPI record reflects an active status in NPPES.
Which specialty label fits MICHAEL V. BOSCO?
NPPES ties MICHAEL V. BOSCO to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MICHAEL V. BOSCO in Berkeley Heights, New Jersey?
For routing, start with Berkeley Heights, New Jersey for MICHAEL V. BOSCO, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.