DARYL AMA BOSOMPEM – Emergency Medicine Physician, NPI 1205217569

DARYL AMA BOSOMPEM is a healthcare provider. based in Hackensack, New Jersey. specializing in EMERGENCY MEDICINE. They hold a License No. 25MA10375200 (NJ). The NPI Number for DARYL AMA BOSOMPEM is 1205217569

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DARYL AMA BOSOMPEM
NPI
1205217569
Phone
Not provided
Address
46 ANDERSON ST
Enumeration Date
12 June 2015
Last Update Date
11 July 2018

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
2018585000
Graduation Year
2015 (11 years ago)
PAC ID
3870840515
Group Practice PAC ID
3870963168
Professional Enrollment ID
I20180726000191
Address ID
NJ070024695BA29XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for DARYL AMA BOSOMPEM

  • 46 ANDERSON ST

    HACKENSACK, NJ 076014570

    Phone:

    Type: Mailing

  • 30 PROSPECT AVE

    HACKENSACK, NJ 07601

    Phone: (551) 996-2331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: Beckman Coulter, Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Beckman Coulter, Inc.$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180726000191IEmergency MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making205202$0
99284Emergency department visit with moderate level of medical decision making156153$0
99291Critical care, first 30-74 minutes8078$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only4444$0
99283Emergency department visit with low level of medical decision making3429$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870963168View full group profile
NameSpecialtyState
Emergency MedicineNJ
Physician AssistantNJ
Emergency MedicineNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Emergency MedicineNY
Emergency MedicineWV
Emergency MedicineNJ
Nurse PractitionerPA
Emergency MedicineNJ

Reviews

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Frequently asked questions

Can I verify DARYL AMA BOSOMPEM with an NPI only?
You can start verification with NPI 1205217569 for DARYL AMA BOSOMPEM, then check state licensing separately.
Does the file indicate DARYL AMA BOSOMPEM is practicing under active NPI?
Directory data currently reports DARYL AMA BOSOMPEM as active.
What taxonomy line describes DARYL AMA BOSOMPEM?
For research purposes, treat DARYL AMA BOSOMPEM as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DARYL AMA BOSOMPEM list a practice location?
Patients near Hackensack, New Jersey may find DARYL AMA BOSOMPEM in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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