Active NPI
Bohdar Woroch, M.D.
- Specialist
- South Orange, NJ
National Provider Identifier
1902983471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA031497
- Practice address
- 117 Vose Ave
Suite 7
South Orange, NJ 07079-2012 - Phone
- (973) 762-3944
- Fax
- (973) 736-9588
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA031497 | NJ | Primary |
Addresses
Primary practice location
117 Vose Ave
Suite 7
South Orange, NJ 07079-2012
Mailing address
349 E Northfield Rd
Suite 202
Livingston, NJ 07039-4802
Phone (973) 597-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA031497 | NJ | MD | Specialist |
| 31497 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekg Interpretation Group Limited | Specialist | Past | Accepting new patients |
| Ekg Interpretation Group | Past | Accepting new patients | |
| Non-Invasive Lab at St Barnabas | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- West Orange, NJ
- NPI 1447261714
-
- Specialist
- West Orange, NJ
- NPI 1265607162
-
- Cardiovascular Disease Physician
- Livingston, NJ
- NPI 1558418004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1902983471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 E NORTHFIELD RD",
"address_2": "SUITE 202",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394802",
"telephone_number": "973-597-0902",
"fax_number": "973-736-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 VOSE AVE",
"address_2": "SUITE 7",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792012",
"telephone_number": "973-762-3944",
"fax_number": "973-736-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOROCH",
"first_name": "BOHDAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA031497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
- William R Calabrese Inc (The Prescription Counter)
- Winner & Associates, LLC
- Janatha Withanachchi, DDS
- Michelle Allison Woode
- Woodmere Psychotherapy Associates LLC
- Wound Healing of Essex, L.L.C.
- Wright Independent Life Options
- Wright Independent Life Options
- Wright Independent Life Options
- Youth and Family Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.