David Boguslavsky, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07932600 Issued in NJ

Practice address

757 Route 202/206
Bridgewater, NJ 08807-1763

Phone

(908) 754-5901

Fax

(732) 832-2601

NPI assigned

Dec 19, 2006

Last updated

Jul 16, 2009By 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 2

Addresses

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

Family Practice

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PremiermdGroup PAC ID 9638264914, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score

85.92 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

53.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dboguslavsky@premiermd.amazing-direct.com

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.

• Premiermd

  dba Premier Medical Acupuncture

  • Family Medicine Physician
  • Bridgewater, NJ
  • NPI 1699978197

  Acupuncturist, PA

  Medicare reassignment Care Compare group NPD Authorized official
• Robert Wood Johnson Medical Associates

  • Hospitalist Physician
  • New Brunswick, NJ
  • NPI 1902848625
  Medicare reassignment NPD

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

• Robert Wood Johnson University Hospital Inc

  dba Robert Wood Johnson University Hospital Somerset

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1114080231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071763",
            "telephone_number": "908-754-5901",
            "fax_number": "732-832-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071763",
            "telephone_number": "908-754-5901",
            "fax_number": "732-832-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUSLAVSKY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MA07932600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07932600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prashant Bhoola, DPM
• Biosport Orthopaedic & Sports Medicine Associates, P.a.
• Sharmistha Biswas
• Blueprint Mental Health and Consulting LLC
• Mark Bodino
• Victoria Bohling
• Jay K Bordoloi, PHARM.D.
• Robert Stephen Boretz, MD
• Liliya Borodkin, LSW, MSW
• Edward Borowski

• Family Medicine Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.