Individual provider Active NPI

Andrew Michael Boruta, DO

  • Anesthesiology Physician
  • Westwood, NJ
National Provider Identifier
1972771772
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08899300 Issued in NJ
Practice address
250 Old Hook Rd
Westwood, NJ 07675-3123
Phone
(201) 383-1035
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 25MB08899300 NJ Primary

Addresses

Primary practice location

250 Old Hook Rd
Westwood, NJ 07675-3123

Mailing address

25 Main St Ste 103
Hackensack, NJ 07601-7032
Phone (201) 488-0066

Other names 1

  • Dr. Andrew Michael Boruta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110801000603 NJ Practitioner - Anesthesiology 4385813799 Reassigns benefits to 2 organizations
I20210120002400 NY Practitioner - Anesthesiology 4385813799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08899300NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Anesthesia LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients
North American Partners in Anesthesia LLP Single Specialty CurrentSince Dec 7, 2020 Accepting new patients
Union Anesthesia Associates, PA Single Specialty CurrentSince May 1, 2021 Accepting new patients
Montclair Anesthesia Associates, P.C. Single Specialty Past Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

111 Maltese Dr
Middletown, NY 10940

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

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.

Hospital & facility affiliations 1

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1972771772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST STE 103",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017032",
            "telephone_number": "201-488-0066",
            "fax_number": "201-488-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-383-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUTA",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08899300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "BORUTA",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.