Boris Kostroma, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07495200 Issued in NJ

Practice address

1 Clara Maass Dr
Belleville, NJ 07109-3550

Phone

(973) 450-2000

NPI assigned

Dec 1, 2006

Last updated

Jun 17, 2016By 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 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Morris Anesthesia Group PAGroup PAC ID 4284628645, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Morris Anesthesia Group, PA

  • Anesthesiology Physician
  • Parsippany, NJ
  • NPI 1194728501
  Medicare reassignment Care Compare group NPD
• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885
  Medicare reassignment Care Compare group NPD
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1548433048
  NPD
• Essex Anesthesiolists PA

  • Anesthesiology Physician
  • Newark, NJ
  • NPI 1083740591
  NPD (past)
• Essex Ironbound Anesthesiologist, LLC

  • Anesthesiology Physician
  • Newark, NJ
  • NPI 1083782890
  NPD (past)
• Marlton Anesthesia & Pain Treatment LLC

  • Anesthesiology Physician
  • Marlton, NJ
  • NPI 1083765077
  NPD (past)
• North American Partners in Anesthesia (Virginia), LLC

  • Anesthesiology Physician
  • Fairfax, VA
  • NPI 1922031442
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1760550537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11781 LEE JACKSON MEMORIAL HWY",
            "address_2": "SUITE 550",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333309",
            "telephone_number": "571-777-5157",
            "fax_number": "703-890-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-450-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTROMA",
        "first_name": "BORIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07495200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilona Khasin
• Kings Anesthesia
• Noel C Kinkela
• Rita Fares Komboz, M.D
• Olga Kosoy, PA-C
• Claude Krause, PA
• Amanda Krieger, RDN
• Tarun Kumar, MD
• Jessica M Kyee
• Vanessa Marie Labode-Richman, PHD

• Anesthesiology Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.