Individual provider Active NPI

Douglas Joseph Borkowski, M.D.

  • General Practice Physician
  • Wayne, NJ
National Provider Identifier
1285769851
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA05022000 Issued in NJ
Practice address
504 Valley Rd
Suite 200
Wayne, NJ 07470-3534
Phone
(973) 694-2690
Fax
(973) 694-2762
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 25MA05022000 NJ
General Practice Physician 208D00000X 25MA05022000 NJ Primary

Addresses

Primary practice location

504 Valley Rd
Suite 200
Wayne, NJ 07470-3534

Mailing address

2 Crescent Dr
Ringwood, NJ 07456-1109
Phone (973) 616-0240

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
I20040520001061 NJ Practitioner - General Practice 3173514908 Reassigns benefits to 4 organizations
Practice locations: Haskell, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

2 Broadway
Hillsdale, NJ 07642-2719
Phone (201) 523-9222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05022000NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Jersey Irish Medical CurrentSince Aug 20, 2017 Accepting new patients
New Jersey Orthopaedic Institute, LLC CurrentSince Jul 23, 2009 Accepting new patients
Biosport Orthopaedic & Sports Medicine Associates, P.a. Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
The Gem Medical Group General Practice PastSince Jan 1, 1990 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

175 High St
Newton, NJ 07860
Phone (973) 383-2121

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

67 E Ridgewood Ave
#C
Paramus, NJ 07652
Phone (201) 262-2010

67 E Ridgewood Ave
#U
Paramus, NJ 07652
Phone (201) 262-2010

504 Valley Rd
Ste 200
Wayne, NJ 07470
Phone (973) 694-2690

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76551

Organizations & group practices 7

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1285769851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESCENT DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561109",
            "telephone_number": "973-616-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-694-2690",
            "fax_number": "973-694-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOWSKI",
        "first_name": "DOUGLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA05022000",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA05022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.