Boris Mordkovich, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA08107700 Issued in NJ

Practice address

520 Sylvan Ave
Suite 202
Englewood Cliffs, NJ 07632-3049

Phone

(201) 751-9490

Fax

(201) 751-9491

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: bmordkovich191173@ahs.direct-ci.com

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.

• Novus Regenerative Institute PC

  • Plastic and Reconstructive Surgery Physician
  • Rutherford, NJ
  • NPI 1659207686
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1992915490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINWOOD PLZ",
            "address_2": "#307",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "201-751-9490",
            "fax_number": "201-751-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SYLVAN AVE",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323049",
            "telephone_number": "201-751-9490",
            "fax_number": "201-751-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDKOVICH",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA08107700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Chiropractic PC
• Arianna Mohamed
• Kevin Sung Moon, DMD
• Taewon Moon
• Brittany Morales, PA-C
• Nancy L. Mueller, MD
• Annrita Muhungura
• Uttam L. Munver, M.D.
• Myoung Health Care LLC
• Nancy L Mueller MD PA

• Plastic and Reconstructive Surgery Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.