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

Mr. Justin Eliot Vandenbosch, NP

Individual provider Family Nurse Practitioner · NPI 1265972665

Mr. Justin Eliot Vandenbosch, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Edward M Kennedy Community Health Center Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

529 Main St Ste 216
Boston, MA 02129-1122
Phone: (617) 600-3195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2278487 (MA)

Record details

NPI number1265972665
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 3, 2017
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Edward M Kennedy Community Health Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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