Individual provider Active NPI

Boris Raginsky, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
National Provider Identifier
1457352502
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD2554 Issued in NJ
Practice address
620 Cranbury Rd
Ste. 106
East Brunswick, NJ 08816-4000
Phone
(732) 698-2444
Fax
(732) 698-9844
NPI assigned
Aug 10, 2005
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD2554 NJ Primary

Addresses

Primary practice location

620 Cranbury Rd
Ste. 106
East Brunswick, NJ 08816-4000

Mailing address

620 Cranbury Rd
Ste. 106
East Brunswick, NJ 08816-4000
Phone (732) 698-2444

Other identifiers 1

IdentifierTypeStateIssuer
8024901MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000188 NJ Practitioner - Podiatry 5092703603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

754 Hwy 18
Suite 107
East Brunswick, NJ 08816-4909
Phone (732) 698-2444

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue2561
Removal or shaving of skin growth1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD2554NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairlawn Podiatry Group PA Foot & Ankle Surgery CurrentSince Oct 1, 1999 Accepting new patients
Home Foot Care Services LLC CurrentSince Jul 21, 2010 Accepting new patients
Dpm0016Mllc Foot & Ankle Surgery PastSince Jan 15, 2005 Accepting new patients

Locations

620 Cranbury Rd
Ste 106
East Brunswick, NJ 08816
Phone (267) 269-7127

754 State Route 18
Ste 107
East Brunswick, NJ 08816
Phone (732) 257-1171

1 Broadway
Ste 103
Elmwood Park, NJ 07407
Phone (201) 796-9336

1 Broadway
Ste 105
Elmwood Park, NJ 07407
Phone (201) 773-6777

18 Worlds Fair Dr
Somerset, NJ 08873
Phone (732) 271-8010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1457352502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "STE. 106",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-698-2444",
            "fax_number": "732-698-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "STE. 106",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-698-2444",
            "fax_number": "732-698-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGINSKY",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD2554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8024901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.