Nurse Practitioner
Mr. KIRKWOOD BODDEN
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 Plan acceptance stays unpublished until the practice reports it.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 1497237796 · enumerated 2018-09-04 · record updated 2019-10-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 150 BERGEN ST, NEWARK, NJ, 07103-2496 (973) 972-6000 Google Maps Apple Maps OpenStreetMap
- Mailing address 2106 ACKMEN CT, BRIDGEWATER, NJ, 08807-3558 (908) 393-4630 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Adult Health 363LA2200X · License 26NJ00644200 NJ
- Nurse Practitioner 363L00000X · Primary · License 26NR16031700 NJ
In this directory
Locations and evidence
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Practice location
NEWARK, NJ, 071032496
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.