Adam R Bogomol, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA07553500 Issued in NJ

Practice address

30 S Newman St
Hackensack, NJ 07601-3210

Phone

(201) 488-2660

NPI assigned

Dec 9, 2005

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

Enrolled in NJ, CO2 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

Diagnostic Radiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Radiology Group PAGroup PAC ID 9830096361, 48 clinicians

Imaging North LLCGroup PAC ID 9133514987, 43 clinicians

New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.5 of 100Reported as group

Quality

90

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abogomol189445@ahs.direct-ci.com

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.

• Hackensack Radiology Group PA

  • Diagnostic Radiology Physician
  • Hackensack, NJ
  • NPI 1306864343
  Medicare reassignment Care Compare group NPD
• Imaging North LLC

  • Diagnostic Radiology Physician
  • Hoboken, NJ
  • NPI 1245835131
  Medicare reassignment Care Compare group NPD
• New Century Imaging LLC

  • Diagnostic Radiology Physician
  • Oradell, NJ
  • NPI 1710909262

  CO

  Medicare reassignment Care Compare group NPD
• Mountain Radiology, Inc

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1093823742
  Medicare reassignment NPD
• The Memorial Hospital

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Medicare reassignment NPD
• The Memorial Hospital

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809
  NPD
• The Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1750958229
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1750366019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACKENSACK RADIOLOGY GROUP",
            "address_2": "130 KINDERKAMACK RD STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-488-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S NEWMAN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013210",
            "telephone_number": "201-488-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOMOL",
        "first_name": "ADAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07553500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen J Bobby, M.S.W., L.C.S.W.
• Conrad A Bocksel, D.D.S.
• Abigail Victoria Bodeker, DMD
• Kenneth Alan Bodkin, AU.D.
• Body Shop Physical Therapy and Wellness LLC
• Marie Bolona
• Jamie Lynn Boman, MSN
• Elizabeth Mary Bonarigo, DPM
• Kimberly Bonica, ACNPC-AG
• Madeline Bonilla

• Diagnostic Radiology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.