Scott David Boruchov, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA07086700 Issued in NJ

Practice address

43 Delsea Dr S Ste a
Glassboro, NJ 08028-2620

Phone

(800) 916-6067

Fax

(800) 643-0747

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, TX, CO, FL4 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 4

Specialty

Diagnostic Radiology

Education

New York Medical College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians

Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians

Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians

Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians

Eagle Butte Indian Health Service HospitalGroup PAC ID 7517852759, 42 clinicians

North Walton Rural Hospital LLCGroup PAC ID 8123559168, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (16 of 20)

Locations (25 of 32)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Alabama Imaging PC

  • Specialist
  • Montgomery, AL
  • NPI 1689621211

  NJ

  Medicare reassignment Care Compare group NPD
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment Care Compare group NPD
• Fort Collins Radiologic Associates PC

  • Diagnostic Radiology Physician
  • Fort Collins, CO
  • NPI 1003849498
  Medicare reassignment Care Compare group NPD
• Montgomery Radiology Associates, PA

  • Specialist
  • Montgomery, AL
  • NPI 1023046604

  NJ

  Medicare reassignment Care Compare group NPD
• North Walton Rural Hospital, LLC

  • Rural Acute Care Hospital
  • Defuniak Springs, FL
  • NPI 1750142121
  Medicare reassignment Care Compare group NPD
• Selma Radiology Associates P C

  • Specialist
  • Montgomery, AL
  • NPI 1669429296

  NJ

  Medicare reassignment Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Uchealth Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Broomfield, CO
  • NPI 1396210902
  Medicare reassignment NPD
• Harmony Imaging Center LLC

  • Diagnostic Radiology Physician
  • Johnstown, CO
  • NPI 1043483910
  NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD
• Uchealth Imaging Services LLC

  • Radiology Clinic/Center
  • Denver, CO
  • NPI 1396368254

  Diagnostic Radiology

  NPD

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1104262286
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1750392304
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780243055
  Care Compare affiliation
• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1891775755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DELSEA DR S STE A",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282620",
            "telephone_number": "800-916-6067",
            "fax_number": "800-643-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DELSEA DR S STE A",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282620",
            "telephone_number": "800-916-6067",
            "fax_number": "800-643-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 S LeMay Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243929",
            "country_code": "US",
            "telephone_number": "970-495-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORUCHOV",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDRH.0063910",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07086700",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "CP006",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "15411C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8266701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluebird Supportive Services
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• Teagan Borguet
• Angela Bowen, LSW
• Jeremy T Boyd, PT, DPT, OCS, SCS
• Chelsea J Boyer, RDN, LDN
• Karen M Bozar Ovalle, NP
• Andrea Branco, PHARMD

• Diagnostic Radiology Physician in Glassboro, NJ
• Providers in Glassboro, 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 Jun 22, 2023; 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.