Boma Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOMA HEALTH SERVICES LLC

Practice address

21 High Acre Dr
Hillsborough, NJ 08844-4717

Phone

(609) 233-8924

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Mr. James Mwanza

Title

Owner

Phone

(603) 233-8924

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BOMA HEALTH SERVICES LLC. Former legal business name

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1497451629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGH ACRE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444717",
            "telephone_number": "609-233-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGH ACRE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444717",
            "telephone_number": "609-233-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MWANZA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-233-8924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450880152",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOMA HEALTH SERVICES LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virginia Blakeman, LCSW
• Christina Jane Blanchard, BSPT
• Susan G. Blank, MD
• Daniel Paul Bobo, MD
• Ryan L Bochinski, PT, DPT
• Gillian Bone, APN
• Cara Bonsma, LPC
• Brian Scott Borer
• Amanda G. Borrelli, DPM
• Anastasios Bouziotis, MSPT

• Community/Behavioral Health Agency in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.