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

Jeanine Lee Bossart

Individual provider Physician Assistant · NPI 1689148082

Jeanine Lee Bossart is a Physician Assistant in Wayne, New Jersey. Qualified in 2015, 11 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

330 Ratzer Rd Ste B7
Wayne, NJ 07470-7704
Phone: (973) 317-0155
Fax: (973) 317-0149
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Bentley Court, Bedminster, NJ 07921 — (201) 314-2715

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00480400 (NJ)

Record details

NPI number1689148082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2019
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wayne