Boris Jaroslaw Fedorciw, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA05349200 Issued in NJ

Practice address

254 Easton Ave
5TH Floor, Medical Office Building
New Brunswick, NJ 08901-1766

Phone

(732) 745-8534

Fax

(732) 220-8595

NPI assigned

Aug 7, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Karel Raska Jr MD - Modern Diagnostics

  • Anatomic Pathology & Clinical Pathology Physician
  • New Brunswick, NJ
  • NPI 1407950082
  NPD (past)
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538178306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "address_2": "5TH FLOOR, MEDICAL OFFICE BUILDING",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8534",
            "fax_number": "732-220-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "address_2": "5TH FLOOR, MEDICAL OFFICE BUILDING",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8534",
            "fax_number": "732-220-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCIW",
        "first_name": "BORIS",
        "middle_name": "JAROSLAW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA05349200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Elizabeth Fayer, RN
• Nadia Fazal, DO
• Christopher Michael Fears, D.M.D.
• Lauren Nicole Feaster, DO
• Matthew Federici
• Daniel Feingold, M.D.
• Jaclyn Feingold, PHARMD, RPH
• Laura C Feiteira, PT, MPT
• Kristina Feja, M.D.
• Joseph Felton

• Anatomic Pathology & Clinical Pathology Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.