Laura Ann Boehmann

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

42 Ellsworth St
Patchogue, NY 11772-1514

Phone

(631) 618-1617

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1396416434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ELLSWORTH ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721514",
            "telephone_number": "631-618-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ELLSWORTH ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721514",
            "telephone_number": "631-618-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMANN",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Block, LCSW
• Erika Bloss
• Blum'S Corset Shop of Patchogue Inc.
• Robert Bobrow, M.D.
• Body Listen Acupuncture, P.C.
• Courtney Bofinger, PA
• Lisa Marie Bonvino, DO
• Rubina Boparai, MD
• Leonard Howard Boretz, DDS
• Margarita Bou, RN

• Specialist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.