Sara Boyadjis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00532700 Issued in NJ

Practice address

610 Valley Health PLZ
Paramus, NJ 07652-3607

Phone

(201) 265-8200

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Plus NJ, Inc.

  • Community/Behavioral Health Agency
  • Paramus, NJ
  • NPI 1356394555
  Medicare reassignment NPD
• Care Plus NJ, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morris Plains, NJ
  • NPI 1902655970
  NPD
• Care Plus NJ, Inc

  • Community/Behavioral Health Agency
  • Bloomfield, NJ
  • NPI 1992822118
  NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1689291460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRISTMILL RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271220",
            "telephone_number": "973-993-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523607",
            "telephone_number": "201-265-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYADJIS",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00532700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borough of Paramus
• Noelle A Borsellino
• John A. Bostrom, M.D.
• Maureen Bottiglieri, RN,CMT
• Irvin D Bough Jr., M.D.
• Aleksandra Bozovic, APN
• Alicia Brady
• Lorraine J Brancato, MD FICS LLC
• Laura Branna
• Reuben Brathwaite

• Mental Health Counselor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.

Verify at the official NPI Registry.