Bomo, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R071800-1 Issued in NY

Legal business name

BOMO, INC.

Practice address

6800 Jericho Tpke
Suite 122W
Syosset, NY 11791-4436

Phone

(631) 235-3410

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen A Borkowski, LCSW-R, CASACNPI 1962736546

Title

President

Phone

(631) 581-6846

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maureen A Borkowski, LCSW-R, CASAC

  • Clinical Social Worker
  • Syosset, NY
  • NPI 1962736546

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1841524253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TAPPAN AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514106",
            "telephone_number": "631-581-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 122W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "631-235-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-581-6846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R, CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "4097",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blustein, M.S.
• Kathy Boadway, D.D.S.
• Eve R H Boden, MSW LCSW
• Jerome Bogin, D.D.S.
• Nora Ann Bolin, ATC, PTA
• Linda Lefkon Bomse, LCSW
• Lisa E Bomse, PSYD
• Bon Acupuncture PLLC
• Yvonne Bonomi, P.T.A
• Cara Flavia Bonuso, PSY.D.

• Clinical Social Worker in Syosset, NY
• Providers in Syosset, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.