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

Michael V Bosco

Individual provider Physician Assistant · NPI 1285209015

Michael V Bosco is a Physician Assistant in West Orange, New Jersey. Qualified in 2021, 5 years ago. Practices with Hudson Premier Medical PC, a 13-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1500 Pleasant Valley Way
West Orange, NJ 07052-2956
Phone: (973) 669-5600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00632600 (NJ)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00632600 (NJ)

Record details

NPI number1285209015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hudson Premier Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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