DR. BORIS MORDKOVICH M.D. NPI 1992915490

NPI Information

NPI: 1992915490
Provider Name: DR. BORIS MORDKOVICH, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
520 SYLVAN AVE
SUITE 202
ENGLEWOOD CLIFFS, NJ
ZIP 07632
Phone: (201) 751-9490
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DR. Boris Mordkovich, M.D. is a plastic and reconstructive surgery surgery in Englewood Cliffs, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Boris Mordkovich, M.D. NPI is 1992915490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 SYLVAN AVE
SUITE 202
ENGLEWOOD CLIFFS, NJ
ZIP 07632-049
Phone: (201) 751-9490
Fax: (201) 751-9491

The NPI 1992915490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 1/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	25MA08107700	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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