Eugenia Boamah

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05824500 Issued in NJ

Practice address

1139 Spruce Dr Ste 2
Mountainside, NJ 07092-2221

Phone

(908) 731-7099

NPI assigned

Dec 28, 2016

Reactivated

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298

  NJ

  Medicare reassignment NPD
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1396280467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 SPRUCE DR STE 2",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922221",
            "telephone_number": "908-731-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 SPRUCE DR STE 2",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922221",
            "telephone_number": "908-731-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMAH",
        "first_name": "EUGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "deactivation_date": "2018-03-02",
        "reactivation_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05824500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Steven Biniaris, D.C.
• Claudette L Blake, APRN
• Mireille Blanchette Desrosiers, DPM
• Allan Jerome Blau, LICSW
• Sheila M Blochlinger, P.T.
• Anjuli Bodapati, PHD
• Boomerang Investments LLC
• Megan Borbely, DPT
• Diannis Elaine Borras, LSW
• Boston Brace International Inc.

• All providers in Mountainside, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.