MS. BOMA PARK MD
NPI 1730363623
Internal Medicine in Mount Vernon, NY

Active since December 27, 2007PECOS Enrolled
107 W 4TH ST, MOUNT VERNON, NY 10550(914) 699-7200(914) 699-0837 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Boma Park Md NPPES

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

MS. BOMA PARK MD (NPI 1730363623) is an individual internal medicine provider in Mount Vernon, New York, licensed in New York (003455) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730363623
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. BOMA PARKCredential: MD
Location Address107 W 4TH STMount Vernon, NY 10550-4002
Mailing Address107 West 4th StreetMount Vernon, NY 10550 · (914) 699-7200 · Fax (914) 699-0837
Fax(914) 699-0837
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 27, 2007
Last NPPES UpdateFebruary 5, 2014
NPI 1730363623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 003455
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
107 W 4TH ST, Mount Vernon, NY 10550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Boma Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729155163
PECOS Enrollment IDI20100120000502
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
73 services48 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services23 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
17 services16 patients
Complete ultrasound of within the brain blood flow 93886
A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.
15 services15 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
107 W 4TH ST, ADMINISTRATION
MOUNT VERNON, NY 10550
Midwife
107 W 4TH ST
MOUNT VERNON, NY 10550
Pharmacy (Community/Retail Pharmacy)
107 W 4TH ST
MOUNT VERNON, NY 10550
Social Worker
107 W 4TH ST
MOUNT VERNON, NY 10550
Midwife
107 W 4TH ST
MOUNT VERNON, NY 10550
Obstetrics & Gynecology
107 W 4TH ST
MOUNT VERNON, NY 10550
Physician Assistant
107 W 4TH ST
MOUNT VERNON, NY 10550
Nurse Practitioner (Adult Health)
107 W 4TH ST
MOUNT VERNON, NY 10550

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 Boma Park's NPI number?

The NPI number for Boma Park is 1730363623. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Boma Park located?

Boma Park practices at 107 W 4th St, Mount Vernon, NY 10550. The listed phone number is (914) 699-7200.

What is Boma Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Boma Park enrolled in Medicare?

Yes. Boma Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Boma Park was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.