Mary Rose Boutros, AGNP
NPI 1285116822 · Gerontology Nurse Practitioner · Tinton Falls, NJ
Mary Rose Boutros, AGNP is a Gerontology Nurse Practitioner provider in Tinton Falls, NJ (NPI 1285116822).
Provider details
- NPI number
- 1285116822
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00851300 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Mary Rose Boutros's NPI number?
- Mary Rose Boutros's National Provider Identifier (NPI) is 1285116822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Rose Boutros's specialty?
- Mary Rose Boutros is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Rose Boutros located?
- Mary Rose Boutros's practice location on file with NPPES is 22 Topeka Ct, Tinton Falls, NJ 07712-7508.
- What is Mary Rose Boutros's phone number?
- The practice phone number listed in the NPPES registry for Mary Rose Boutros is (732) 618-7718.
- Is Mary Rose Boutros's NPI active?
- Yes — Mary Rose Boutros's NPI (1285116822) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.