Gary S Borer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100170000 Issued in NJ

Practice address

0-28 Pine Ave
Fair Lawn, NJ 07410-3748

Phone

(201) 791-4116

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary S Borer PC

  • Psychologist
  • Fair Lawn, NJ
  • NPI 1669650123
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1003824541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0-28 PINE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103748",
            "telephone_number": "201-791-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0-28 PINE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103748",
            "telephone_number": "201-791-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORER",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100170000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bomzer Psychological Associates LLC
• Philip Bomzer, PSY.D.
• Yedida Bomzer, PSY.D.
• Kristen Bondarenko, SLP
• Kim Boon, LMSW
• Ariela Borgen, OTR
• Borough of Fair Lawn (Borough of Fair Lawn Ambulance Corps)
• Borough of Fair Lawn
• Yunuke Nyambeka Bosire, DNP, FNP,BC
• Victor Botnick, DDS

• Clinical Psychologist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.