Nurse Practitioner, Gerontology
MARY ROSE BOUTROS AGNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285116822 · enumerated 2018-08-30 · record updated 2026-04-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 22 TOPEKA CT, TINTON FALLS, NJ, 07712-7508 (732) 618-7718 Google Maps Apple Maps OpenStreetMap
- Mailing address 22 TOPEKA CT, TINTON FALLS, NJ, 07712-7508 (732) 618-7718 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 26NJ00851300 NJ
- Nurse Practitioner, Adult Health 363LA2200X · License 26NJ00851300 NJ
In this directory
NJ Monmouth County Tinton Falls Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
TINTON FALLS, NJ, 077127508
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.