Individual provider Active NPI

Herve C Boucard, M.D.

  • Specialist
  • Hamilton, NJ
National Provider Identifier
1891764718
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07717700 Issued in NJ
Practice address
1374 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3701
Phone
(609) 586-1319
Fax
(609) 586-1468
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07717700 NJ Primary

Addresses

Primary practice location

1374 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3701

Mailing address

1374 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3701
Phone (609) 586-1319

Other identifiers 11

IdentifierTypeStateIssuer
103217MedicaidNJ
2622135OtherNJUHC
7436839OtherNJAETNA PPO
P3714409OtherNJOXFORD
0104386OtherNJGHI
60032894OtherNJHORIZON NJ HEALTH
7716069OtherNJCIGNA
222233588OtherNJHORIZON BC/BS
3K3753OtherNJHEALTHNET
01007810900OtherNJAMERICHOICE
1216331OtherNJAETNA HMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070118000406 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3678574639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1374 Whitehorse Hamilton Square Rd
Units 201 204 Units B1 B4
Hamilton, NJ 08690-3701
Phone 6095861319366463

1640 Route 88 W 202
Atlantic Coast Gastroenterology Assoc
Brick, NJ 08724-3068
Phone (732) 458-8300

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07717700NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Jan 6, 2020 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Professional Anesthesia Consultants, PC PastSince Jan 2, 2005 Accepting new patients

Locations

98 James St
Ste 200
Edison, NJ 08820
Phone (732) 230-2828

1374 Whitehorse Hamilton Square Rd
Fl 2
Trenton, NJ 08690
Phone (609) 586-1319

1374 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 581-5900

1374 Whitehorse Hamilton Square Rd
Fl Second
Trenton, NJ 08690

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: bouchard@hgi.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1891764718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-586-1319",
            "fax_number": "609-586-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-586-1319",
            "fax_number": "609-586-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCARD",
        "first_name": "HERVE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07717700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103217",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2622135",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7436839",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3714409",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0104386",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60032894",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7716069",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "222233588",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K3753",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01007810900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1216331",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.