ANGELA BOUTON FNP-C NPI 1245972215

NPI Information

  • NPI: 1245972215
  • Provider Name: ANGELA BOUTON, FNP-C
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3350 STATE ROUTE 138 STE 117
    WALL TOWNSHIP, NJ
    ZIP 07719
  • Phone: (732) 280-2727

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NPI Details

Angela Bouton, FNP-C is a nurse practitioner in Wall Township, NJ. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Angela Bouton, FNP-C NPI is 1245972215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 STATE ROUTE 138 STE 117
WALL TOWNSHIP, NJ
ZIP 07719-694
Phone: (732) 280-2727

The NPI 1245972215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 7/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health26NJ01325000NEW JERSEYNo
2363LX0106XNurse PractitionerOccupational Health26NJ01325000NEW JERSEYNo
3363L00000XNurse Practitioner26NJ01325000NEW JERSEYYes
4363LA2200XNurse PractitionerAdult Health26NJ01325000NEW JERSEYNo
5363LF0000XNurse PractitionerFamily26NJ01325000NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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