CARLA MARIE ONGLENGCO BOZON MD
NPI 1639794670
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Carla Marie Onglengco Bozon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA MARIE ONGLENGCO BOZON MD (NPI 1639794670) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lancaster.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carla Marie Onglengco Bozon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carla Marie Bozon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norwalk, CA 90650
- Reassigned Medicare billing, California enrollment
- 138 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11206
BROOKLYN, NY 11206
BROOKLYN, NY 11206
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 Carla Marie Bozon's NPI number?
The NPI number for Carla Marie Bozon is 1639794670. It was assigned to this individual provider in the NPPES registry on June 16, 2020.
Where is Carla Marie Bozon located?
Carla Marie Bozon practices at 760 Broadway Gme - Room 10a216, Brooklyn, NY 11206. The listed phone number is (718) 963-8779.
What is Carla Marie Bozon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Carla Marie Bozon enrolled in Medicare?
Yes. Carla Marie Bozon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carla Marie Bozon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Marie Bozon reassigns Medicare benefits to Jwch Institute, Inc. (Norwalk, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Marie Bozon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carla Marie Bozon was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carla Marie Onglengco Bozon, MD · NPI 1639794670
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 16, 2020.
## Identity
- **NPI:** 1639794670 (Entity type: Individual)
- **Enumerated:** June 16, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 760 BROADWAY, GME - ROOM 10A216, Brooklyn, NY 11206
- **Phone:** (718) 963-8779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jwch Institute, Inc. (NPI 1386708634, Norwalk, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1639794670) · Data from the CMS NPPES public registry.