Peter Charles Boorjian, M.D.,F.A.C.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA026559 Issued in NJ

Practice address

777 Bloomfield Ave
Glen Ridge, NJ 07028-2325

Phone

(973) 746-3322

Fax

(973) 429-8765

NPI assigned

Mar 1, 2006

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Montclair Urological Group

  • Specialist
  • Glen Ridge, NJ
  • NPI 1104955798
  Authorized official Same address or phone

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770550485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282325",
            "telephone_number": "973-746-3322",
            "fax_number": "973-429-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282325",
            "telephone_number": "973-746-3322",
            "fax_number": "973-429-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORJIAN",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA026559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart de Gregorio MD LLC
• Beck Liatt LCSW PC
• Benjamin Safirstein, M.D., P.a.
• Melissa Gail Berlin, MD
• Stephen Whitmore Bloomfield
• Gillian Boyd-Woschinko, MD
• Karen Calhoun
• Elizabeth Candela, MA, RDN, ACSM EP(C)
• Ushtavaity Davar Canteenwalla, MS, CGC
• Cardiac, Thoracic and Vascular Surgical Associate, P.a.

• Specialist in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.