Active NPIIndividual provider

Nikolay Bogush

Internal Medicine, Cardiovascular Disease in Ridgewood, New Jersey

NPI Number1396164893
Practice location
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Fax
—
Last updated
March 8, 2024

Nikolay Bogush is an Internal Medicine, Cardiovascular Disease based in Ridgewood, NJ. Nikolay Bogush practices in Ridgewood, NJ. The NPI Number for Nikolay Bogush is 1396164893 and holds a License No. 25MA11396900 (NJ). The current practice location address for Nikolay Bogush is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 and can be reached out via phone at 410-328-6110.

Provider Profile Details

NPI Number
1396164893
Provider Name
Nikolay Bogush
Provider Entity Type
Individual
Gender
Male
Address
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Phone Number
410-328-6110
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2014
Last Update Date
March 8, 2024
Certification Date
August 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
410-328-6110
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave Ste 309
Ridgewood, NJ 07450-3937
City
Ridgewood
State
NJ
Zip
07450-3937
Phone Number
201-689-9400

License Information

License Number
25MA11396900
License State
NJ
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nikolay Bogush?

The NPI number of Nikolay Bogush is 1396164893. It was assigned on April 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Nikolay Bogush?

Nikolay Bogush is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 25MA11396900.

Where does Nikolay Bogush practice?

The practice location is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957. The office can be reached at 410-328-6110 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396164893 directly on the NPPES registry website.

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