Individual provider Active NPI

Robert Wayne Boyajian, M.D.

  • Internal Medicine Physician
  • Secaucus, NJ
National Provider Identifier
1174547426
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA049024 Issued in NJ
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.

Hospital & facility affiliations 7

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

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 Home health agency, Hackensack, NJ, CCN 317047
  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

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
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

LicenseStateTypeSpecialty
25MA049024NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W. Boyajian, MD, PA Internal Medicine CurrentSince Jul 1, 1999 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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA049024 NJ Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
5093902MedicaidNJ

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

Verify at the official NPI Registry.