Individual provider Active NPI

Stephen S Boyajian, DO

  • Interventional Pain Medicine Physician
  • Marlton, NJ
National Provider Identifier
1073547311
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB04736200 Issued in NJ
Practice address
1 Executive Drive
Suite 430
Marlton, NJ 08053-3431
Phone
(856) 489-9822
Fax
(856) 489-9877
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MB04736200 NJ Primary

Addresses

Primary practice location

1 Executive Drive
Suite 430
Marlton, NJ 08053-3431

Mailing address

1 Executive Drive
Suite 430
Marlton, NJ 08053-3431
Phone (856) 489-9822

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
I20040920000404 NJ Practitioner - Interventional Pain ManagementPractitioner - Pain Management 9830183276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Midwestern University, Chicago College of Osteopathic Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Consultants, PAGroup PAC ID 4880688217, 2 clinicians
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1 Executive Dr
Suite 430
Marlton, NJ 08053-3431
Phone (856) 489-9822

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 767-0077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Sep 1, 2024 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Pain Consultants, PA Interventional Pain Medicine CurrentSince Oct 1, 2003 Accepting new patients
Advocare , LLC Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1 Executive Dr
Ste 430
Marlton, NJ 08053
Phone (856) 489-9822

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

350 Young Ave
Moorestown, NJ 08057
Phone (609) 654-5795

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

326 Route 73
Voorhees, NJ 08043
Phone (856) 489-9822

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCGCA/Endpoint/AFCGCA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1073547311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DRIVE",
            "address_2": "SUITE 430",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533431",
            "telephone_number": "856-489-9822",
            "fax_number": "856-489-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DRIVE",
            "address_2": "SUITE 430",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533431",
            "telephone_number": "856-489-9822",
            "fax_number": "856-489-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAJIAN",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB04736200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.