Individual provider Active NPI

Walter Boris, DO

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Marlton, NJ
National Provider Identifier
1184671885
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MB05420700 Issued in NJ
Practice address
141 Route 70 E Ste C
Marlton, NJ 08053-1855
Phone
(856) 355-7176
Fax
(856) 762-1249
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MB05420700 NJ Primary

Addresses

Primary practice location

141 Route 70 E Ste C
Marlton, NJ 08053-1855

Mailing address

141 Route 70 E Ste C
Marlton, NJ 08053-1855
Phone (856) 355-7176

Other practice location 1

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200 ext. 5488

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wboris13240@directvirtua.org
Direct Messaging Address wboris13240@directvirtua.org

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
I20040422000149 NJ Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac SurgeryPractitioner - Vascular Surgery 3072509322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Cardiovascular Disease (Cardiology), Vascular Surgery
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

212 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05420700NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Apr 21, 2003 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2017 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2017 Accepting new patients
Mercy Med Care Inc. Past Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

141 Route 70 E
Ste C
Marlton, NJ 08053
Phone (856) 341-8105

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 8

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1184671885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ROUTE 70 E STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531855",
            "telephone_number": "856-355-7176",
            "fax_number": "856-762-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 ROUTE 70 E STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531855",
            "telephone_number": "856-355-7176",
            "fax_number": "856-762-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080151705",
            "country_code": "US",
            "telephone_number": "609-893-1200 x5488",
            "fax_number": "609-893-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORIS",
        "first_name": "WALTER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MB05420700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wboris13240@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Route 70 E Ste C",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080531855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wboris13240@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Route 70 E Ste C",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080531855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.