Individual provider Active NPI

Borys Krynyckyi, MD

  • Nuclear Medicine Physician
  • Galloway, NJ
National Provider Identifier
1003892613
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
25MA07841600 Issued in NJ
Practice address
44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599
Phone
(609) 677-9729
Fax
(609) 652-6512
NPI assigned
Dec 16, 2005
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 25MA07841600 NJ Primary
Nuclear Medicine Physician 207U00000X 194637-1 NY

Addresses

Primary practice location

44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599

Mailing address

1550 Laurel CT
Manasquan, NJ 08736-1529
Phone (732) 528-0026

Other practice location 1

1514 State Route 138
Pcmi
Wall, NJ 07719-3706
Phone (732) 681-2700

Other identifiers 2

IdentifierTypeStateIssuer
0788635MedicaidNJ
01787053MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000137 NJ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 7012940349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Chicago College of Medicine and Surgery, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194637-1NYMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ami Atlanticare LLC CurrentSince May 30, 2021 Accepting new patients
Atlantic Medical Imaging CurrentSince May 30, 2021 Accepting new patients
Atlantic Radiologists Professional Association LLC CurrentSince May 30, 2021 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

455 Jack Martin Blvd
Brick, NJ 08724
Phone (516) 543-1155

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

72 W Jimmie Leeds Rd
Ste 1100
Galloway, NJ 08205
Phone (609) 652-6815

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

517 Route 72 W
Manahawkin, NJ 08050
Phone (609) 926-3330

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1003892613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 LAUREL CT",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361529",
            "telephone_number": "732-528-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E JIMMIE LEEDS RD STE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059599",
            "telephone_number": "609-677-9729",
            "fax_number": "609-652-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 State Route 138",
            "address_2": "PCMI",
            "address_purpose": "LOCATION",
            "city": "Wall",
            "state": "NJ",
            "postal_code": "077193706",
            "country_code": "US",
            "telephone_number": "732-681-2700",
            "fax_number": "732-681-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYNYCKYI",
        "first_name": "BORYS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NJ",
            "license": "25MA07841600",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "194637-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788635",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01787053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.