Jack Boghossian, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MA81581 Issued in NJ

Practice address

631 Broadway
Bayonne, NJ 07002-3846

Phone

(973) 364-2682

Fax

(973) 364-1430

NPI assigned

May 17, 2006

Last updated

Mar 26, 2015By the provider in NPPES

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, PA2 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

Infectious DiseaseAlso: Internal Medicine

Education

Duke University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
• Saint Michael's Medical Center Hospital, Newark, NJ, CCN 310096

Merit-based Incentive Payment System (MIPS)

Final score

57.14 of 100Reported as individual

Quality

64.78

Improvement activities

0

Cost

70.76

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19575/brand/1/csg/1/fhir/r4
• Direct secure messaging: jack.boghossian.1@19575.direct.athenahealth.com
• Direct secure messaging: jack.boghossian@direct.bayonnemedicalcenter.md

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.

• Infectious Disease Group of North Jersey

  • Infectious Disease Physician
  • Bayonne, NJ
  • NPI 1083668479
  Medicare reassignment NPD Authorized official
• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694

  PA

  Medicare reassignment Care Compare group
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• International Id Associates LLC

  • Infectious Disease Physician
  • Belleville, NJ
  • NPI 1134188162
  NPD (past)
• Njcri Physicians Group PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1487100657
  NPD (past)
• St Michael Infectious Disease Associates

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1811942766
  NPD (past)
• Syracuse Medical LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
  • NPI 1891270609
  NPD (past)

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

• Ijkg Opco LLC

  dba Bayonne Medical Center

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation
• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1083666010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070020093",
            "telephone_number": "239-597-0704",
            "fax_number": "239-597-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846",
            "telephone_number": "973-364-2682",
            "fax_number": "973-364-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOSSIAN",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA81581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4555104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Boberick, BA
• Bogdan Orthodontics
• Frank A. Bogdan, D.M.D.
• Ira Bologh, R.PH.
• Lisa Bongiovanni
• Samuel Botros, DDS
• Viktouria M Botrous, PHARMD
• Boulevard Medical Office PC

• Infectious Disease Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.