Individual provider Active NPI

Katie Bogusz, M.D.

  • Allergy & Immunology Physician
  • Riverdale, NJ
National Provider Identifier
1447425632
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA09074600 Issued in NJ
Practice address
44 State RT 23
Suite #6
Riverdale, NJ 07457-1603
Phone
(973) 248-9199
Fax
(973) 248-9299
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA09074600 NJ Primary
Internal Medicine Physician 207R00000X 25MA09074600 NJ

Addresses

Primary practice location

44 State RT 23
Suite #6
Riverdale, NJ 07457-1603

Mailing address

44 State RT 23
Suite #6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

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
I20140908000231 NJ Practitioner - Allergy/Immunology 3274751144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

140 N Rte
17 Suite 204
Paramus, NJ 07652-2829
Phone (201) 523-9797

44 Route 23 N
Suite 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

44 RT 23
Suite 6
Riverdale, NJ 07457-1603

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Weiss MD PA CurrentSince Jul 21, 2014 Accepting new patients

Locations

261 James St
Ste 1D
Morristown, NJ 07960
Phone (973) 267-3646

140 N State Rt 17
Ste 204
Paramus, NJ 07652
Phone (201) 523-9797

44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199

Interoperability endpoints

  • Direct secure messaging: katiebogusz@weiismedaa.allscriptsdirect.net

Organizations & group practices 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1447425632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23",
            "address_2": "SUITE #6",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-9199",
            "fax_number": "973-248-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23",
            "address_2": "SUITE #6",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-9199",
            "fax_number": "973-248-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUSZ",
        "first_name": "KATIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA09074600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09074600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

Verify at the official NPI Registry.