Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenica Reshma Boodhram

Individual provider Critical Care Medicine Registered Nurse · NPI 1053098814

Jenica Reshma Boodhram is a Critical Care Medicine Registered Nurse in Ozone Park, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

10452 107th St
Ozone Park, NY 11417-2315
Phone: (917) 776-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 661650-1 (NY)

Record details

NPI number1053098814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJune 23, 2023