Individual provider · Type 1 NPI

Jason Peter Boulware, DO

Emergency Medicine Physician · Bronx, NY

NPI number 1013211168 Active

Practice location

2353 Hughes Ave, Apt 1A
Bronx, NY 10458-8267

Mailing address

515 Valley St Ste 203
Maplewood, NJ 07040-4300

Other practice locations

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 737-7010
  • 363 Highland Ave, Fall River, MA 02720-3703 · (508) 973-7041
  • 2740 Fulton Ave Ste 220, Sacramento, CA 95821-5186 · (908) 663-2929

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X25MB09297500 (NJ)
Emergency Medicine Physician Primary 207P00000X259532-1 (NY)
Emergency Medicine Physician 207P00000XDO00706 (RI)
Emergency Medicine Physician 207P00000X286222 (MA)
Emergency Medicine Physician 207P00000X24237 (CA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

Other emergency medicine physician providers in Bronx

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About NPI 1013211168

Jason Peter Boulware, DO's National Provider Identifier is 1013211168, issued on Jan 4, 2011. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Bronx, NY. The record was last updated on May 18, 2026.