Ziad C Boujaoude, MD
Individual provider Active NPI Pulmonary Disease Physician · Camden, NJ
NPI 1619954286 · NPPES record last updated Apr 22, 2016
Key facts
- NPI
- 1619954286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- MA07105300 (NJ)
- Practice address
- 3 Cooper PLZ
Suite 215
Camden, NJ 08103-1438 - Phone
- (856) 342-2439
- Fax
- (856) 342-7832
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMC Department of Medicine Group PA
Practice addresses (Care Compare)
3 Cooper PLZ
Camden, NJ 08103-1438
Phone (856) 342-2406
Hospital & facility affiliations
- Cooper University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- Quality
- 88.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080729000027 | NJ | Practitioner - Pulmonary Disease | 8426122268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP508 | KY | MD | Pediatric Anesthesiology Physician |
| 37879 | KY | MD | Pulmonary Disease Physician |
| MA07105300 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine Group PA | Pulmonary Disease | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Current |
Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001
3 Cooper Plz
Rm 312
Camden, NJ 08103
Phone (856) 342-2406
3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921
3 Cooper Plz
Rm 211
Camden, NJ 08103
Phone (856) 342-2544
2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
2339 Route 70 W
Ste 300
Cherry Hill, NJ 08002
Phone (856) 667-7266
309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000
501 Fellowship Rd
Ste 2
Mount Laurel, NJ 08054
900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505
218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900
Interoperability endpoints
- zboujaoude2867@direct.cooperhealth.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 37879 | KY | |
| Pulmonary Disease Physician | 207RP1001X | MA07105300 | NJ | Yes |
Addresses
Primary practice location
3 Cooper PLZ
Suite 215
Camden, NJ 08103-1438
Mailing address
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1865517 | Other | AETNA | |
| 64072515 | Medicaid | KY |
NPI Registry JSON
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1619954286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-968-7433",
"fax_number": "856-968-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 215",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2439",
"fax_number": "856-342-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUJAOUDE",
"first_name": "ZIAD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "37879",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA07105300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1865517",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64072515",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
- Daniel Borrero
- Rachel Anne Bosco
- Sucharitha Bose
- Kathleen Boswell
- Anne J Boucard
- Bonnie Bovaird-Jewart
- Dana Sherine Bowen
- Emily Elizabeth Bower
- Ryan C Bowers
- Karanda Bowman
All providers in Camden, NJ · Pulmonary Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.