Conrado Boja, M.D. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONRADO BOJA, M.D. LLC

Practice address

1182 Teaneck Rd
Teaneck, NJ 07666-4824

Phone

(201) 833-9000

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Roey Hine

Title

Business Manager

Phone

(973) 751-7515

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Conrad Tandayag Boja, D.O

  • Family Medicine Physician
  • Teaneck, NJ
  • NPI 1811254980
  NPD (past)
• Katrina Angelica Cruz Castillo, APN

  • Primary Care Nurse Practitioner
  • Teaneck, NJ
  • NPI 1932905627
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104979376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "201-833-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "201-833-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRADO BOJA, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "ROEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "973-751-7515"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J. Conn, M.D.
• Elisabeth Constantine, MA
• Ralph Victor Constantino, PH.D.
• Domenick Conte, D.C.
• Andrew Todd Cooper, MSW
• Ira Lee Cooper, DMD

• Family Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Family Medicine Physician 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.