| Dr Jack Boghossian, MD | |
|
631 Broadway, Bayonne, NJ 07002-3846 | |
| (973) 364-2682 | |
| (973) 364-1430 |
| Full Name | Dr Jack Boghossian |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 41 Years |
| Location | 631 Broadway, Bayonne, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083666010 | NPI | - | NPPES |
| 4555104 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA81581 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayonne Medical Center | Bayonne, NJ | Hospital |
| Saint Michael's Medical Center | Newark, NJ | Hospital |
| Entity Name | Infectious Disease Group Of North Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083668479 PECOS PAC ID: 6406842640 Enrollment ID: O20040422000916 |
| Entity Name | Central Avenue Professional Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Boghossian, MD Po Box 93, Bayonne, NJ 07002-0093 Ph: (239) 597-0704 | Dr Jack Boghossian, MD 631 Broadway, Bayonne, NJ 07002-3846 Ph: (973) 364-2682 |
Dr. George Tarng, MD, MPH Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 744 Broadway, Bayonne, NJ 07002 Phone: 201-436-8888 | |
Dr. Zahava Farkas, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 988 Broadway Ste 201, Bayonne, NJ 07002 Phone: 201-339-6111 Fax: 201-339-6333 | |
Deborah M Wozniak, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 19 E 27th St, Bayonne, NJ 07002 Phone: 201-339-1414 Fax: 201-339-5427 | |
Danuta Silber, MD PHD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 740 Kennedy Blvd, Bayonne, NJ 07002 Phone: 201-858-0848 Fax: 201-858-1106 | |
Vashti Wanda Ramphal, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 29 E 29th St, Bayonne, NJ 07002 Phone: 201-585-5000 | |
Dr. Dominick Condo, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 622 Broadway, Bayonne, NJ 07002 Phone: 201-436-2800 Fax: 201-436-9840 |