Jarrett Boroniec, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

318203 Issued in NY

Practice address

1789 Sheepshead Bay Rd
Brooklyn, NY 11235-2792

Phone

(516) 795-3033

Fax

(516) 654-9358

NPI assigned

Apr 21, 2016

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Michigan State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics Spine and Sports Medicine, LLCGroup PAC ID 0648318063, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027
• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: jarrettboroniec@ossm.allscriptsdirect.net

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.

• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopedics and Sports Medicine

  • Orthopaedic Surgery of the Spine Physician
  • Bayonne, NJ
  • NPI 1154030328

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopaedics and Sports Medicine, LLP

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063

  Single Specialty

  Medicare reassignment NPD
• Orthopaedics Spine and Sports Medicine, LLC

  dba Total Orthopaedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Syosset, NY
  • NPI 1073096590

  Orthopaedic Surgery

  NPD
• Total Orthopedics Spine and Sports Medicine NJ LLC

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1851142467

  Single Specialty

  NPD
• Nassau Health Care Corporation

  dba Nassau University Medical Center

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)

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

• Wsnchs North, Inc.

  dba St. Joseph Hospital

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1083068472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 COSHOCTON DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Westchester Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613585",
            "country_code": "US",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2339 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115542038",
            "country_code": "US",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORONIEC",
        "first_name": "JARRETT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "318203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Borodina, LMSW
• Natalie Borodoker, M.D.
• Vitaliy Borodulin, M.D.
• Lemor Devorah Borohov
• Moshe Michael Borohov, PA
• Avigail Boroosan, OTR/L
• Boropark Acupuncture P.C.
• Borotone, Inc.
• Borough Heart & Vascular Care P.C
• Borough Park Family Refuah 365 LLC

• Orthopaedic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.