Active NPI
Brianna Boham
- Family Nurse Practitioner
- Cliffwood, NJ
National Provider Identifier
1265347447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15612100
- Practice address
- 25 Dogwood CT
Cliffwood, NJ 07721-1273 - Phone
- (732) 979-0206
- NPI assigned
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15612100 | NJ | Primary |
Addresses
Primary practice location
25 Dogwood CT
Cliffwood, NJ 07721-1273
Mailing address
25 Dogwood CT
Cliffwood, NJ 07721-1273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1265347447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DOGWOOD CT",
"city": "CLIFFWOOD",
"state": "NJ",
"postal_code": "077211273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DOGWOOD CT",
"city": "CLIFFWOOD",
"state": "NJ",
"postal_code": "077211273",
"telephone_number": "732-979-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHAM",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15612100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cliffwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.