Boram Song
Nurse Practitioner, Family in Englewood, New Jersey
1063894475- Practice location
- 200 Grand Ave Ste 201, Englewood, NJ 07631-4363
- Phone
- 201-944-3800
- Fax
- 201-944-3804
- Last updated
- September 8, 2022
Boram Song is a Nurse Practitioner, Family based in Englewood, NJ. Boram Song practices in Englewood, NJ. The NPI Number for Boram Song is 1063894475 and holds a License No. f339122 (NY). The current practice location address for Boram Song is 200 Grand Ave Ste 201, Englewood, NJ 07631-4363 and can be reached out via phone at 201-944-3800 and via fax at 201-944-3804.
Provider Profile Details
- NPI Number
- 1063894475
- Provider Name
- Boram Song
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Grand Ave Ste 201, Englewood, NJ 07631-4363
- Phone Number
- 201-944-3800
- Fax Number
- 201-944-3804
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Boram Song (Other Name)
- Provider Enumeration Date
- June 22, 2015
- Last Update Date
- September 8, 2022
- Certification Date
- September 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Grand Ave Ste 201
Englewood, NJ 07631-4363 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-4363
- Phone Number
- 201-944-3800
- Fax Number
- 201-944-3804
Provider Business Mailing Address Details
- Address
- 200 Grand Ave Ste 201
Englewood, NJ 07631-4363 - City
- Englewood
- State
- NJ
- Zip
- 07631-4363
- Phone Number
- 201-944-3800
- Fax Number
- 201-944-3804
License Information
- License Number (1)
- f339122
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 26NJ00890500
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Englewood, NJ
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- Caitlin C Flynn, FNP-CNurse Practitioner, Family · NPI 1053190884
- Elizabeth BrinnNurse Practitioner, Family · NPI 1487586095
- Elizabeth M Bernard, FNPNurse Practitioner, Family · NPI 1982845558
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Frequently Asked Questions
What is the NPI number of Boram Song?
The NPI number of Boram Song is 1063894475. It was assigned on June 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Boram Song?
Boram Song is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number f339122.
Where does Boram Song practice?
The practice location is 200 Grand Ave Ste 201, Englewood, NJ 07631-4363. The office can be reached at 201-944-3800 (phone) or 201-944-3804 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063894475 directly on the NPPES registry website.