DR. JACK BOGHOSSIAN (NPI# 1083666010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083666010 |
| Entity Type | Individual |
| Full Name | DR. JACK BOGHOSSIAN |
| Credential | M.D. |
| Practice Address |
631 Broadway Bayonne NJ 07002-3846 |
| Mailing Address |
Po Box 93 Bayonne NJ 07002-0093 |
| Practice Telephone | 9733642682 |
| Practice Fax Number | 9733641430 |
| Mailing Telephone | 2395970704 |
| Mailing Fax Number | 2395970709 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA81581 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4555104 | 05 |
| Street Address |
631 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121926 | Nadeem Ul Haque | Internal Medicine | 631 Broadway, Suite# B-2, 2nd Floor Rear, Bayonne, NJ 07002-3846 | 2006-04-03 |
| 1437633492 | Bayonne Pain Management Center, LLC | Pain Medicine | 631 Broadway, Bayonne, NJ 07002-3846 | 2018-09-17 |
| 1750698478 | Advantage Medical Consultants PC | Pain Medicine | 631 Broadway, Bayonne, NJ 07002-3846 | 2010-09-01 |
| 1164733739 | Ashish Kapoor | Psychiatry & Neurology | 631 Broadway, Third Floor, Bayonne, NJ 07002-3846 | 2010-06-29 |
| 1023281284 | Nj Pain Rehabilitation Group, PC | Family Medicine | 631 Broadway, First Floor, Bayonne, NJ 07002 | 2008-04-09 |
| 1417142613 | Premier Medical Oncology, LLC | Internal Medicine | 631 Broadway, Third Floor, Bayonne, NJ 07002-3846 | 2007-09-11 |
| 1902097389 | Diane K. Dworkin Dpm LLC | Podiatrist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-08-09 |
| 1700085867 | Nadeem Ul Haque Md PC | Specialist | 631 Broadway, Suite B2, Bayonne, NJ 07002 | 2007-07-17 |
| 1235275561 | Hooshang Sadeghi | Specialist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-01-30 |
| 1053457986 | Vinod Kapoor | Specialist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083668479 | Infectious Disease Group of North Jersey | Internal Medicine | 631 Broadway, Bayonne, NJ 07002-3846 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.