Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Peter Boulware, DO

Individual provider Emergency Medicine Physician · NPI 1013211168

Jason Peter Boulware, DO is an Emergency Medicine in Bronx, New York. Qualified in 2008, 18 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts, New Jersey and New York and 1 more.

Years since qualifying
18
Licensed in
CA, MA, NJ, NY, RI
In the registry since
2011
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2353 Hughes Ave Apt 1A
Bronx, NY 10458-8267
Phone: (646) 737-4364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 259532-1 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25MB09297500 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DO00706 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 286222 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 24237 (CA)

Record details

NPI number1013211168
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2011
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address515 Valley St Ste 203, Maplewood, NJ 07040-4300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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