Active NPI
Walter Boris, DO
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MB05420700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic 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
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 100
- Quality
- 96.63
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 81.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05420700 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Service Fund of Deborah Heart & Lung Center | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | 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 | Current | 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
- 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.
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- Specialist
- Browns Mills, NJ
- NPI 1902852015
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Mount Holly, NJ
- NPI 1851841696
-
- Obstetrics & Gynecology Physician
- Trenton, NJ
- NPI 1720070469
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1649310962
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.