1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CARLA MARIE ONGLENGCO BOZON MD
NPI 1639794670
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since June 16, 2020PECOS Enrolled
760 BROADWAY, GME - ROOM 10A216, BROOKLYN, NY 11206(718) 963-8779 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Feb 24, 2022, Jun 16, 2020 (3 updates tracked since 2020).

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

NPI1639794670
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLA MARIE ONGLENGCO BOZONCredential: MD
Location Address760 BROADWAY, GME - ROOM 10A216Brooklyn, NY 11206
Mailing Address760 Broadway, Gme - Room 10a216Brooklyn, NY 11206 · (718) 963-8779 · Fax (718) 963-7957
Phone(718) 963-8779
Sole ProprietorNo
Enumeration DateJune 16, 2020
Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1639794670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

Secondary Practice Location 1

Location 145104 10th St WLancaster, CA 93534-2310 · Phone (562) 867-7999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Marie Onglengco Bozon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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.

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.