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NPI · 1063894475 · NPPES-sourced

Boram Song

ActiveFamily Nurse Practitioner
NPI Number
1063894475
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(201) 944-3800
License NJ · 26NJ00890500
Last Updated
Enumerated
Primary practice addressNJ · 07631-4363
200 Grand Ave Ste 201Englewood, NJ 07631-4363
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Also known as

  • Also known asSong, Boram

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1063894475 is registered to Boram Song, a Family Nurse Practitioner practising at 200 Grand Ave Ste 201 in Englewood, New Jersey. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Boram Song has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Boram Song accepts. To confirm in-network status with your specific health plan, contact Boram Song directly at (201) 944-3800.

Frequently asked

Yes. NPI 1063894475 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (201) 944-3800.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Boram Song is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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