Active NPI
Andrew Michael Boruta, DO
- Anesthesiology Physician
- Westwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB08899300
- 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
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08899300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Single Specialty | Current | Accepting new patients |
| Union Anesthesia Associates, PA | Single Specialty | Current | 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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Single Specialty
-
- Pain Medicine (Anesthesiology) Physician
- Union, NJ
- NPI 1730293598
Single Specialty
-
- Anesthesiology Physician
- Montclair, NJ
- NPI 1841245628
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.