Active NPI
Jean Bohomey, NP
- Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F330435
- Practice address
- 435 E Henrietta Rd
Rochester, NY 14620-4629 - Phone
- (585) 760-5466
- Fax
- (585) 760-5467
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F330435 | NY | Primary |
Addresses
Primary practice location
435 E Henrietta Rd
Rochester, NY 14620-4629
Mailing address
435 E Henrietta Rd
Rochester, NY 14620-4629
Phone (585) 760-5466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02564923 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6822 | CT | MD | Physician Assistant |
| F330435 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Gardens Corporation | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Matrix Medical of New York PC | Nurse Practitioner | Current | Accepting new patients |
| Strong Obstetrics-Gynecology Group | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
4646 Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
601 Elmwood Ave
#320
Rochester, NY 14642
1000 South Ave
Ste 116
Rochester, NY 14620
Phone (585) 341-6732
435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466
3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- Skilled Nursing Facility
- Rochester, NY
- NPI 1184612830
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
-
dba Highland Hospital Outpatient Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1184668311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1619075173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-5466",
"fax_number": "585-760-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-5466",
"fax_number": "585-760-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHOMEY",
"first_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F330435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02564923",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.