DR. IRVIN D BOUGH JR. (NPI# 1598710899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598710899 |
| Entity Type | Individual |
| Full Name | DR. IRVIN D BOUGH JR. |
| Other Name | I DAVID BOUGH JR. |
| Credential | M.D. |
| Practice Address |
690 Kinderkamack Rd Suite 101 Oradell NJ 07649-1524 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 2017229850 |
| Practice Fax Number | 2017229851 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 25MA06358300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 201905-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
690 KINDERKAMACK RD SUITE 101 |
| City | ORADELL |
| State | NJ |
| Zip Code | 07649-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333050 | Lawrence D Rosen | Pediatrics | 690 Kinderkamack Rd, Suite 102, Oradell, NJ 07649-1524 | 2005-08-11 |
| 1750750675 | Emily Sansom | Audiologist | 690 Kinderkamack Rd, Oradell, NJ 07649-1524 | 2015-09-21 |
| 1457606964 | Yevgeniya Yubliler | Audiologist | 690 Kinderkamack Rd, 101, Oradell, NJ 07649-1524 | 2012-07-20 |
| 1285966929 | Rebecca J Ganz | Clinical Nurse Specialist | 690 Kinderkamack Rd, Suite 102, Oradell, NJ 07649-1524 | 2010-02-05 |
| 1639332885 | Whole Child Center, LLC | Pediatrics | 690 Kinderkamack Rd, Suite 102, Oradell, NJ 07649-1524 | 2008-07-08 |
| 1508073321 | Douglas Drew Leventhal | Otolaryngology | 690 Kinderkamack Rd, Suite 101, Oradell, NJ 07649-1524 | 2007-05-17 |
| 1619968997 | Jason Barry Surow | Otolaryngology | 690 Kinderkamack Rd, Suite 101, Oradell, NJ 07649-1524 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336598523 | Frances M Merz | Counselor | 456 Kinderkamack Rd, 21 F, Oradell, NJ 07649 | 2016-06-08 |
| 1144678863 | Another Perspective Counseling Services, LLC | Community/Behavioral Health | 456 Kinderkamack Rd, 21f, Oradell, NJ 07649 | 2016-06-03 |
| 1174874150 | Billie A Hagen | Specialist | 618 Veldran Ave, Oradell, NJ 07649 | 2012-10-01 |
| 1861780736 | Urmi Pranay Vaidya-mathur | Social Worker | 660 Kinderkamack Rd #205, Oradell, NJ 07649 | 2011-07-13 |
| 1801119896 | Personal Solutions, LLC | Social Worker | 297 Kinderkamack Road, Suite 212, Oradell, NJ 07649 | 2010-03-05 |
| 1437302015 | Lillian Paredes | Pathology | 838 Hennigar Place, Oradell, NJ 07649 | 2008-10-28 |
| 1679786370 | Mahmood M Zaitr | Dentist | 659 East Dr, Oradell, NJ 07649 | 2007-05-08 |
| 1235341009 | Victoria Ann Voskian | Dentist | 716 Soldier Hill Road, Oradell, NJ 07649 | 2007-05-04 |
| 1548308018 | Nicholas Ignazzi Sr. | Pharmacist | 223 Kinderkamack Road, Oradell, NJ 07649 | 2007-02-04 |
| 1477636348 | Guy Ernest Siraki | Chiropractor | 4 Marggraff Court, Oradell, NJ 07649 | 2006-10-23 |
| Find all providers in zip 07649 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457447195 | Robert Joseph Cusumano | Otolaryngology | 690 Kinderkamack Road, Suite 101, Oradell, NJ 07649 | 2006-10-04 |
| 1508073321 | Douglas Drew Leventhal | Otolaryngology | 690 Kinderkamack Rd, Suite 101, Oradell, NJ 07649-1524 | 2007-05-17 |
| 1619968997 | Jason Barry Surow | Otolaryngology | 690 Kinderkamack Rd, Suite 101, Oradell, NJ 07649-1524 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977249 | Clinical Health Care Associates of New Jersey, PC | Otolaryngology | 719 Us Highway 206 Ste 101, Hillsborough, NJ 08844-1529 | 2018-10-12 |
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1023484052 | Eun Hae Chang | Otolaryngology | 1131 Broad St Ste 102, Shrewsbury, NJ 07702-4334 | 2015-08-13 |
| 1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
| 1134532708 | Ahmad F Mahmoud | Otolaryngology | 6 Brighton Rd Ste 104, Clifton, NJ 07012-1647 | 2014-06-11 |
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1477986420 | Amit N Bhojwani | Otolaryngology | 708 Gregorys Way, Voorhees, NJ 08043-2055 | 2013-08-14 |
| 1831440726 | Anthony G Rossi | Otolaryngology | 912 Pompton Ave, Suite A1, Cedar Grove, NJ 07009-1264 | 2012-10-02 |
| 1871802751 | Ronald B Lorenc Md Pa | Otolaryngology | 225 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2010-09-27 |
| Find all providers with the same taxonomy | ||||
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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.