Active NPI
Daryl K Boffard, M.D.
- Gynecology Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA04069600
- Practice address
- 1323 Stuyvesant Ave
Union, NJ 07083-5380 - Phone
- (908) 686-4334
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 25MA04069600 | NJ | |
| Gynecology Physician | 207VG0400X | 25MA04069600 | NJ | Primary |
Addresses
Primary practice location
1323 Stuyvesant Ave
Union, NJ 07083-5380
Mailing address
1323 Stuyvesant Ave
Union, NJ 07083-5380
Phone (908) 686-4334
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935
16 Pocono Rd
Denville, NJ 07834-2905
16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04069600 | NJ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Union OB/GYN and Infertility Group | Past | Accepting new patients |
Locations
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
1323 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-4334
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dboffard192111@epicdirect.rwjbh.org
- daryl.boffard.1@27010.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Obstetrics & Gynecology Physician
- Union, NJ
- NPI 1689840555
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1497763874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 STUYVESANT AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835380",
"telephone_number": "908-686-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 STUYVESANT AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835380",
"telephone_number": "908-686-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOFFARD",
"first_name": "DARYL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NJ",
"license": "25MA04069600",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA04069600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.