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JENICA RESHMA BOODHRAM
NPI 1053098814
Registered Nurse - Critical Care Medicine in Ozone Park, NY

Active since July 03, 2023
10452 107TH ST, OZONE PARK, NY 11417(917) 776-2148 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenica Reshma Boodhram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENICA RESHMA BOODHRAM (NPI 1053098814) is an individual critical care medicine provider in Ozone Park, New York, licensed in New York (661650-1) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1053098814
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameJENICA RESHMA BOODHRAM
Location Address10452 107TH STOzone Park, NY 11417-2315
Mailing Address10452 107th StOzone Park, NY 11417-2315 · (917) 776-2148
Phone(917) 776-2148
Sole ProprietorNo
Enumeration DateJuly 3, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1053098814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in NY · 661650-1
10452 107TH ST, Ozone Park, NY 11417
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenica Boodhram's NPI number?

The NPI number for Jenica Boodhram is 1053098814. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Jenica Boodhram located?

Jenica Boodhram practices at 10452 107th St, Ozone Park, NY 11417. The listed phone number is (917) 776-2148.

What is Jenica Boodhram's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Jenica Boodhram was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.