Nikolay Bogush

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA11396900 Issued in NJ

Practice address

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957

Phone

(410) 328-6110

NPI assigned

Apr 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Albert Einstein College of Medicine of Yeshiva University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100Reported as apm

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikolay.bogush.1@5622.direct.athenahealth.com

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.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment Care Compare group NPD
• Valley Physician Services, Ny, PC

  • Clinical Cardiac Electrophysiology Physician
  • Ridgewood, NJ
  • NPI 1457626558

  Cardiovascular Disease

  NPD (past)

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

• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1396164893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 309",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503937",
            "telephone_number": "201-689-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "410-328-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUSH",
        "first_name": "NIKOLAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2024-03-08",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11396900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Blumstein, LCSW
• Andrea Carnevale Blute, MS RDN CDCES
• Warren Elliot Boardman, DMD
• Michael Bogart, MD
• Edward Bogosian, LSW
• Lauren Bomberg, LPC
• Nancy Jane Bortinger, LCSW
• Beth A Bosticco, PA-C
• Kristen Tozzi Boyan, LCSW
• Boyd H Seidenberg Mdpa

• Cardiovascular Disease Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.

Verify at the official NPI Registry.