Bogota Laboratories, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOGOTA LABORATORIES, INC.

Practice address

634 E Lost Pine Way Rd
Galloway, NJ 08205-9694

Phone

(609) 652-5551

Fax

(609) 652-5554

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Michael Gehricke

Title

President

Phone

(609) 652-5551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104045798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "OCEANVILLE",
            "state": "NJ",
            "postal_code": "082310724",
            "telephone_number": "609-652-5551",
            "fax_number": "609-652-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 E LOST PINE WAY RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059694",
            "telephone_number": "609-652-5551",
            "fax_number": "609-652-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGOTA LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEHRICKE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-652-5551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8721408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Bergman, MS, RD
• Christina Bernardo, CRNA
• Bhavin Patel DDS PC
• Ebenezer O-a Bilewu, DC
• Allison Bise, LAC
• Adrianna Bollaro, LAC, NCC, MA
• Nasser Eldien Borai, MD
• Dorothy Bowker, LPC
• Jeffrey R Boxman, D.O
• Haley Renee Brennan, MS, RDN

• All providers in Galloway, NJ
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.