Irvin D Bough Jr., M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA06358300 Issued in NJ

Practice address

650 From Rd Ste 170
Paramus, NJ 07652-3517

Phone

(201) 722-9850

Fax

(201) 722-9850

NPI assigned

May 24, 2006

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• I David Bough Jr. Other name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Otolaryngology

Education

Jefferson Medical College of Thomas Jefferson University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

Merit-based Incentive Payment System (MIPS)

Final score

94.45 of 100Reported as group

Quality

89.91

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: irvin.bough@direct.entandallergy.nextgenshare.com

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.

• ENT and Allergy Associates LLP

  • Otolaryngology Physician
  • Tarrytown, NY
  • NPI 1376598326

  NJ

  Medicare reassignment Care Compare group NPD
• Surgicare Surgical Associates of Ridgewood, LLC

  • Ambulatory Surgical Clinic/Center
  • Ridgewood, NJ
  • NPI 1912199258
  NPD
• North Jersey Otolaryngology-Head and Neck Surgery,PA

  • Specialist
  • Clifton, NJ
  • NPI 1902029416
  NPD (past)
• ENT and Allergy Associates of Pennsylvania PLLC

  • Allergy & Immunology Physician
  • Horsham, PA
  • NPI 1548098759

  Otolaryngology

  NPD (past)

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

• Pascack Valley Hospital LLC

  dba HackensackUMC at Pascack Valley

  • General Acute Care Hospital
  • Westwood, NJ
  • NPI 1205176062
  Care Compare affiliation
• 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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1598710899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL 4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FROM RD STE 170",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523517",
            "telephone_number": "201-722-9850",
            "fax_number": "201-722-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Kinderkamack Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491524",
            "country_code": "US",
            "telephone_number": "201-722-9850",
            "fax_number": "201-722-9851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Crosfield Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942229",
            "country_code": "US",
            "telephone_number": "845-727-1370",
            "fax_number": "845-727-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGH",
        "first_name": "IRVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "201905-1",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA06358300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I",
            "last_name": "BOUGH",
            "middle_name": "DAVID",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Borough of Paramus
• Borough of Paramus
• Noelle A Borsellino
• John A. Bostrom, M.D.
• Maureen Bottiglieri, RN,CMT
• Sara Boyadjis
• Aleksandra Bozovic, APN
• Alicia Brady
• Lorraine J Brancato, MD FICS LLC
• Laura Branna

• Otolaryngology Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.