Paula Boberg, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

627011-1 Issued in NY

Practice address

316 Beach 65TH St
Far Rockaway, NY 11692-1425

Phone

(718) 474-3800

NPI assigned

May 10, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daytop Village, Inc

  • Substance Abuse Rehabilitation Facility
  • Far Rockaway, NY
  • NPI 1154442879
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1073831491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BEACH 122ND ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941824",
            "telephone_number": "718-945-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116921425",
            "telephone_number": "718-474-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBERG",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627011-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Blumenthal
• Penina Blumstein
• Melody Jo Boafo, MD
• Adwoa Boamah
• Keino Bobb, LMSW
• Linda Bobker, OTR/L
• Devorah M Bodenheim, LCSW
• Patrice B Boncroft, RN
• Deborah Borenstein
• Boris Mendel (New Central Manor ALP)

• Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.