Boris Borodulin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA62423 Issued in NJ

Practice address

180 Tices LN BLDG a
Ste 205
East Brunswick, NJ 08816-1345

Phone

(732) 247-1040

Fax

(732) 247-1041

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

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

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.17 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

87.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Davenport, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Brunswick, NJ
  • NPI 1689557894
  Medicare reassignment

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.

• Highlands Psychiatric Associates, P.C.

  • Psychiatry Physician
  • Sparta, NJ
  • NPI 1083837520
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1770646358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TICES LN BLDG A",
            "address_2": "STE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "732-247-1040",
            "fax_number": "732-247-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TICES LN BLDG A",
            "address_2": "STE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "732-247-1040",
            "fax_number": "732-247-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORODULIN",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA62423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fady Boktor
• Nardin Boktor
• Stephanie Bolinder
• Tatiana Bolotina-Rozman, LSW
• Larnie Jamal Booker, M.D.
• Lizabeth A Borrell-Demaio, PT
• Boston Brace International Inc.
• Nardin Botros
• Nashed G. Botros, MD
• Andrew Boulos, PHARM.D.

• Psychiatry Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Psychiatry Physician in New Jersey

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