Mr Scott David Boruchov, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Glassboro, New Jersey. He went to New York Medical College and graduated in 1994 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Alabama Imaging Pc, Montgomery Radiology Associates Pa, Selma Radiology Associates P C, Eagle Butte Indian Health Service Hospital, Fort Collins Radiologic Associates Pc and his current practice location is
43 Delsea Dr S Ste A, Glassboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(800) 916-6067.
Mr Scott David Boruchov is licensed to practice in New Jersey (license number 25MA07086700) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891775755.
Physician's Profile
| Full Name | Mr Scott David Boruchov |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 32 Years |
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| Location | 43 Delsea Dr S Ste A, Glassboro, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Scott David Boruchov attended and graduated from New York Medical College in 1994
NPI Data:
- NPI Number: 1891775755
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274523857
- Enrollment ID: I20050103000181
Medical Identifiers
Medical identifiers for Mr Scott David Boruchov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891775755 | NPI | - | NPPES |
| 8266701 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | CDRH.0063910 (Colorado) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA07086700 (New Jersey) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | CP006 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 15411C (Wyoming) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Alabama Imaging Pc | 2365341328 | 30 |
| Montgomery Radiology Associates Pa | 2961301999 | 36 |
| Selma Radiology Associates P C | 3870497720 | 28 |
| Eagle Butte Indian Health Service Hospital | 7517852759 | 24 |
| Fort Collins Radiologic Associates Pc | 7315844396 | 64 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Scott David Boruchov allows following entities to bill medicare on his behalf.
| Entity Name | Montgomery Radiology Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023046604 PECOS PAC ID: 2961301999 Enrollment ID: O20250128003531 |
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| Entity Name | Selma Radiology Associates P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429296 PECOS PAC ID: 3870497720 Enrollment ID: O20250320000281 |
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| Entity Name | Alabama Imaging Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689621211 PECOS PAC ID: 2365341328 Enrollment ID: O20250407000908 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scott David Boruchov is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Scott David Boruchov, MD 43 Delsea Dr S Ste A, Glassboro, NJ 08028-2620 Ph: (800) 916-6067 | Mr Scott David Boruchov, MD 43 Delsea Dr S Ste A, Glassboro, NJ 08028-2620 Ph: (800) 916-6067 |
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