Active NPIIndividual providerSole proprietor

Gaston A Boma

Day Training, Developmentally Disabled Services in South Plainfield, New Jersey

NPI Number1316592090
Practice location
2201 S Clinton Ave Ste 2F, South Plainfield, NJ 07080-1473
Fax
—
Last updated
August 8, 2019

Gaston Achidi Boma is a Day Training, Developmentally Disabled Services based in South Plainfield, NJ. Gaston Achidi Boma practices in South Plainfield, NJ. The NPI Number for Gaston Achidi Boma is 1316592090. The current practice location address for Gaston Achidi Boma is 2201 S Clinton Ave Ste 2F, South Plainfield, NJ 07080-1473 and can be reached out via phone at 908-462-4361.

Provider Profile Details

NPI Number
1316592090
Provider Name
Gaston Achidi Boma
Provider Entity Type
Individual
Gender
Male
Address
2201 S Clinton Ave Ste 2F, South Plainfield, NJ 07080-1473
Phone Number
908-462-4361
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2019
Last Update Date
August 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2201 S Clinton Ave Ste 2F
South Plainfield, NJ 07080-1473
Zip
07080-1473
Phone Number
908-462-4361
South Plainfield, NJ 07080Get directions →

Provider Business Mailing Address Details

Address
2201 S Clinton Ave Ste 2F
South Plainfield, NJ 07080-1473
City
South Plainfield
State
NJ
Zip
07080-1473
Phone Number
908-462-4361

License Information

Taxonomy (1)
In Home Supportive Care · 253Z00000X
Taxonomy (3)
Community/Behavioral Health · 251S00000X
Taxonomy (5)
Day Training, Developmentally Disabled Services · 251C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gaston A Boma?

The NPI number of Gaston A Boma is 1316592090. It was assigned on August 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Gaston A Boma?

Gaston A Boma is registered under the primary taxonomy Day Training, Developmentally Disabled Services (code 251C00000X).

Where does Gaston A Boma practice?

The practice location is 2201 S Clinton Ave Ste 2F, South Plainfield, NJ 07080-1473. The office can be reached at 908-462-4361 (phone).

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 1316592090 directly on the NPPES registry website.

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