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

Mary Rose Boutros, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1285116822

Mary Rose Boutros, AGNP is a Gerontology Nurse Practitioner in Tinton Falls, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

22 Topeka Ct
Tinton Falls, NJ 07712-7508
Phone: (732) 618-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ00851300 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00851300 (NJ)

Record details

NPI number1285116822
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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