Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Boram Song

Individual provider Family Nurse Practitioner · NPI 1063894475

Boram Song is a Nurse Practitioner in Englewood, New Jersey. Qualified in 2014, 12 years ago. Practices with Perry Ave Family Medical Center Inc, a 28-clinician group and works from 2 locations. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

200 Grand Ave Ste 201
Englewood, NJ 07631-4363
Phone: (201) 944-3800
Fax: (201) 944-3804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 243 Chestnut St, Newark, NJ 07105-6501 — (201) 944-3800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00890500 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F339122 (NY)

Record details

NPI number1063894475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Perry Ave Family Medical Center Inc — 28 clinicians
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients87
Services billed 663 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $121 6 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Perry Ave Family Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 28 clinicians in the practice; 12 are shown here.

Other providers in Englewood