Boram Song
NPI 1063894475ActiveIndividual· Nurse Practitioner, Family· Englewood, NJ
Nurse Practitioner, Family with Perry Ave Family Medical Center Inc, practicing in Englewood, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $24,547 for 112 claims, against $13,018 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 5 companies reporting payments in 2025, $121.32 in all, mostly food and beverage.
Overview
| NPI | 1063894475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 22, 2015 |
| Last updated in NPPES | Sep 8, 2022 |
| Certified by provider | Sep 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 26NJ00890500 | NJ |
| Nurse Practitioner, Family | 363LF0000X | F339122 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 663 across 17 procedure codes |
| Paid by Medicare | $13,018 |
Part D prescriptions in 2024
| Prescriptions (claims) | 112 · 117 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $24,547 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Perry Ave Family Medical Center IncBronx, NY · 30 clinicians
Industry payments (Open Payments)
- 2025$121.32 · 6 payments from 5 companies
- 2024$285.32 · 12 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $31.22 | 1 |
| Regeneron Healthcare Solutions, Inc. | $29.31 | 2 |
| Gilead Sciences, Inc. | $28.98 | 1 |
| Galderma Laboratories, L.P. | $18.02 | 1 |
| Biocryst US Sales Co., LLC | $13.79 | 1 |
What the 2025 payments were for
- Food and Beverage$121.32 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 family nurse practitioners in Englewood · All family nurse practitioners in New Jersey