Look up the most recent NPI and PECOS records

Noella Lum Boma

Specialist

Other Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as NOELLA BOMA.

Based on the most recent information from CMS, provider Noella Lum Boma is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1346318482
Provider Type
Individual
Full Name
Boma, Noella Lum
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
11/30/2006
Last Updated
7/8/2007

Contact Information

Practice Location

234 E 149th St, Bronx, NY 10451-5504

(718) 579-5000

Unlisted Fax

Mailing Location

315 Avalon Gardens Dr, Nanuet, NY 10954-7414

(845) 406-4682

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 236146 New York

Noella Lum Boma

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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