Active NPI
Baewo Corp
Doing business as Boram Care
- Doula
- New York, NY
National Provider Identifier
1134928245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- BAEWO CORP
- Doing business as
- Boram Care
- Practice address
- 200 Riverside Blvd Apt 25E
New York, NY 10069-0904 - Phone
- (917) 415-3399
- NPI assigned
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Suk Park
- Title
- Cofounder
- Phone
- (917) 415-3399
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
200 Riverside Blvd Apt 25E
New York, NY 10069-0904
Mailing address
200 Riverside Blvd Apt 25E
New York, NY 10069-0904
Phone (917) 415-3399
Other names 1
- Boram Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1134928245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERSIDE BLVD APT 25E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690904",
"telephone_number": "917-415-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVERSIDE BLVD APT 25E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690904",
"telephone_number": "917-415-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAEWO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "SUK",
"authorized_official_title_or_position": "COFOUNDER",
"authorized_official_telephone_number": "917-415-3399",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boram Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.