Active NPI
Boniface Emeka Ohaya, LPN
- Licensed Practical Nurse
- Randolph, MA
National Provider Identifier
1992339741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN94695
- Practice address
- 22 Birch Dr
Randolph, MA 02368-3404 - Phone
- (857) 719-3306
- NPI assigned
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN94695 | MA | Primary |
Addresses
Primary practice location
22 Birch Dr
Randolph, MA 02368-3404
Mailing address
22 Birch Dr
Randolph, MA 02368-3404
Phone (857) 719-3306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bohaya@gmail.com | Health Information Exchange (HIE) | |
| Other URL | Bohaya@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN94695 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1992339741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BIRCH DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683404",
"telephone_number": "857-719-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BIRCH DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683404",
"telephone_number": "857-719-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHAYA",
"first_name": "BONIFACE",
"middle_name": "EMEKA",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN94695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bohaya@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22 Birch Dr",
"city": "Randolph",
"state": "MA",
"country_code": "US",
"postal_code": "023683404",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bohaya@gmail.com",
"affiliation": "N",
"address_1": "22 Birch Dr",
"city": "Randolph",
"state": "MA",
"country_code": "US",
"postal_code": "023683404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.