DR. MICHAEL CONRAD TANDAYAG BOJA (NPI# 1811254980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811254980 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CONRAD TANDAYAG BOJA |
| Credential | D.O |
| Practice Address |
1150 Teaneck Rd Suite 1 Teaneck NJ 07666-4825 |
| Mailing Address |
42 Este Pl Bloomfield NJ 07003-4121 |
| Practice Telephone | 2018339000 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | FB5499719 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1150 TEANECK RD SUITE 1 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831514769 | Rapidmd Inc. | Family Medicine | 1428 Teaneck Rd, Teaneck, NJ 07666-5030 | 2014-03-01 |
| 1477651487 | Roberta Nicole Mcneill | Family Medicine | 780 Cedar Lane, Teaneck, NJ 07666-0000 | 2006-09-21 |
| 1255399408 | Conrado A Boja IIi | Family Medicine | 1182 Teaneck Rd, Teaneck, NJ 07666-4824 | 2006-05-03 |
| 1144749961 | Ashley Rebecca Voshell | Family Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2017-09-13 |
| 1609293000 | Rubaba Hussain Md | Family Medicine | 1428 Teaneck Rd, Teaneck, NJ 07666-5030 | 2014-03-24 |
| 1699906354 | Samir Zaina | Family Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2009-07-29 |
| 1730329475 | B&b Medical Specialties, Inc. | Family Medicine | 639 Teaneck Rd, Teaneck, NJ 07666-4258 | 2009-02-20 |
| 1891950770 | Jigisha Tanmay Shah | Family Medicine | 780 Cedar Ln, Valley Health Medical Group, Teaneck, NJ 07666-1706 | 2008-07-21 |
| 1942411194 | Robert Berberian | Family Medicine | 639 Teaneck Rd, Teaneck, NJ 07666-4258 | 2007-05-26 |
| 1104979376 | Conrado Boja, M.d. LLC | Family Medicine | 1182 Teaneck Rd, Teaneck, NJ 07666-4824 | 2007-01-19 |
| Find all providers in TEANECK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.