Individual provider Active NPI

Michael N Boriss, DO

  • Cardiovascular Disease Physician
  • Cape May Court House, NJ
National Provider Identifier
1255375085
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MB40862 Issued in NJ
Practice address
217 N Main St
Suite 205
Cape May Court House, NJ 08210-2165
Phone
(609) 463-2755
Fax
(609) 463-2757
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB40862 NJ
Cardiovascular Disease Physician 207RC0000X MB40862 NJ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MB40862 NJ

Addresses

Primary practice location

217 N Main St
Suite 205
Cape May Court House, NJ 08210-2165

Mailing address

PO Box 593
Cape May Court House, NJ 08210-0593
Phone (609) 463-2755

Other identifiers 1

IdentifierTypeStateIssuer
3773906MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB40862NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burton Waisbren M.D. Professional Association Cardiovascular Disease Past Accepting new patients
CMC Department of Medicine Group PA Past Accepting new patients
Charles H. Antinori, MD PC Past Accepting new patients
Regional Heart and Lung Associates, P.a. Cardiovascular Disease PastSince Jul 12, 1988 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1255375085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100593",
            "telephone_number": "609-463-2755",
            "fax_number": "609-463-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "SUITE 205",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102165",
            "telephone_number": "609-463-2755",
            "fax_number": "609-463-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISS",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB40862",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB40862",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MB40862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3773906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.