Active NPI
Robert Wayne Boyajian, M.D.
- Internal Medicine Physician
- Secaucus, NJ
National Provider Identifier
1174547426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA049024
- Practice address
- 255 State RT 3
Suite 203
Secaucus, NJ 07094-3857 - Phone
- (201) 865-3100
- Fax
- (201) 865-8311
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Secaucus, NJ
- NPI 1154626117
Internal Medicine, NJ
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
255 State RT
3 Suite 203
Secaucus, NJ 07094-3857
Phone (201) 865-3100
Hospital & facility affiliations
- Amedisys Home Health
- Hudson Regional Hospital
- Hackensack University Medical Center
- Englewood Hospital and Medical Center
- Palisades Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110401000107 | NJ | Practitioner - Internal Medicine | 4688857469 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA049024 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert W. Boyajian, MD, PA | Internal Medicine | Current | Accepting new patients |
Locations
255 State Rt 3
Ste 203
Secaucus, NJ 07094
Phone (201) 865-3100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA049024 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
255 State RT 3
Suite 203
Secaucus, NJ 07094-3857
Mailing address
255 State RT 3
Suite 203
Secaucus, NJ 07094-3857
Phone (201) 865-3100
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5093902 | Medicaid | NJ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2010.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1174547426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 STATE RT 3",
"address_2": "SUITE 203",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943857",
"telephone_number": "201-865-3100",
"fax_number": "201-865-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 STATE RT 3",
"address_2": "SUITE 203",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943857",
"telephone_number": "201-865-3100",
"fax_number": "201-865-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYAJIAN",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA049024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5093902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.