John Paul Bouffard, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Berkeley Heights, NJ
NPI 1306801931 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1306801931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 25MA08115900 (NJ)
- Practice address
- 1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 277-8699
- Fax
- (908) 673-7388
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morristown Pathology Associates PA
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5600
175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121
97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 831-5000
Hospital & facility affiliations
- Overlook Medical Center
- Morristown Medical Center
- Newton Medical Center
- Chilton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070405000026 | NJ | Practitioner - Pathology | 2365406022 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08115900 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Fetal Medicine of Practice Associates, PA | Current | Accepting new patients | |
| Morristown Pathology Associates, PA | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Practice Associates Medical Group | Past | Accepting new patients | |
| Pathologists Bio-Medical Laboratories PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Promed Pathology, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
99 Beauvoir Ave
Fl 3
Summit, NJ 07901
Phone (908) 522-2147
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | 25MA08115900 | NJ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA08115900 | NJ | Yes |
Addresses
Primary practice location
1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other practice location 1
99 Beauvoir Ave
Overlook Hospital, Pathology Department, 3rd Floor
Summit, NJ 07901-3533
Phone (908) 522-2147
Other names
- John Paul Bouffard
Other providers in Berkeley Heights, NJ
- Laura Blum
- Esther Boamah
- Ali Bonakdar
- Christopher M Boni
- Daniella Andrea Borges
- Carol G Boyer
- Jaclyn Brancato
- Michaela Brennan
- Robert Brenner
- Kathleen Helen Breslin
All providers in Berkeley Heights, NJ · Anatomic Pathology & Clinical Pathology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.