Active NPI
Cherif Boutros, M.D.
- Surgical Oncology Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 25MA12203300
- Practice address
- 350 Engle St Ste 6501
Englewood, NJ 07631-1808 - Phone
- (201) 608-2800
- NPI assigned
- Jul 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | D0070965 | MD | |
| Surgical Oncology Physician | 2086X0206X | 25MA12203300 | NJ | Primary |
Addresses
Primary practice location
350 Engle St Ste 6501
Englewood, NJ 07631-1808
Mailing address
350 Engle St Ste 6501
Englewood, NJ 07631-1808
Phone (201) 608-2800
Other practice location 1
305 Hospital Drive
Tate Center
Glen Burnie, MD 21061
Phone (410) 553-8146
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034615200 | Medicaid | MD | |
| P00893238 | Other | MD | MEDICARE RAIL ROAD |
| 0997579 | Medicaid | NJ | |
| 967368-02 | Other | MD | CAREFIRST RENDERING NUMBER |
| 238612 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| GROUP PTAN:DQ7486 | Other | MD | MEDICARE RAIL ROAD |
| Q818-0022 | Other | MD | CAREFIRST GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158
Hospital & facility affiliations
- Englewood Hospital and Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12203300 | NJ | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Arundel Physicians Associates, LLC | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
350 Engle St
Ste 6501
Englewood, NJ 07631
Phone (201) 608-2800
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Internal Medicine Physician
- Millersville, MD
- NPI 1396762274
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1912105495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ENGLE ST STE 6501",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "201-608-2800",
"fax_number": "410-787-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST STE 6501",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "201-608-2800"
}
],
"practiceLocations": [
{
"address_1": "305 Hospital Drive",
"address_2": "Tate Center",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "21061",
"country_code": "US",
"telephone_number": "410-553-8146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUTROS",
"first_name": "CHERIF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MD",
"license": "D0070965",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NJ",
"license": "25MA12203300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034615200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00893238",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0997579",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST RENDERING NUMBER",
"identifier": "967368-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "238612",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "GROUP PTAN:DQ7486",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST GROUP",
"identifier": "Q818-0022",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.