DR. DOUGLAS JOSEPH BORKOWSKI M.D.
NPI 1285769851
General Practice in Wayne, NJ

Q: What is Douglas Borkowski's NPI number?

The NPI number for Douglas Borkowski is 1285769851. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Douglas Borkowski's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Borkowski was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment

24.13/100

CMS Quality Rating

504 VALLEY RD, SUITE 200, WAYNE, NJ 07470(973) 694-2690(973) 694-2762 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Douglas Joseph Borkowski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS JOSEPH BORKOWSKI M.D. (NPI 1285769851) is an individual general practice provider in Wayne, New Jersey, licensed in New Jersey (25MA05022000) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1986).

NPPES Registry Identity

NPI1285769851

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DOUGLAS JOSEPH BORKOWSKICredential: M.D.

Location Address504 VALLEY RD, SUITE 200Wayne, NJ 07470-3534

Mailing Address2 Crescent DrRingwood, NJ 07456-1109 · (973) 616-0240

Phone(973) 694-2690

Fax(973) 694-2762

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1986

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1285769851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NJ · 25MA05022000

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 25MA05022000 (NJ)

504 VALLEY RD, Wayne, NJ 07470

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Other Identifiers 3

Medicare PIN641758NJ

Medicare UPINE66942

Medicare PIN641758BK6NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Joseph Borkowski M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173514908

PECOS Enrollment IDI20040520001061

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Douglas Borkowski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Jersey Orthopaedic Institute, LLC

Same address

Sports Medicine

504 VALLEY RD, SUITE 200
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
11 clinicians in this Medicare group

NPI 1821224429 (973) 694-2690

Drx Paramus, LLC

8.5 mi

Urgent Care

67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652

Reassigned Medicare billing, New Jersey enrollment
144 clinicians in this Medicare group

NPI 1316272685 (201) 262-2010

Jersey Irish Medical

30 mi

Urgent Care

601 W. UNION AVE.
Bound Brook, NJ 08805

Reassigned Medicare billing, New Jersey enrollment
125 clinicians in this Medicare group

NPI 1144575739 (732) 469-3627

The Radiology Group Of New Jersey, LLC

31 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

505 services433 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

494 services389 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

336 services159 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

332 services274 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

311 services239 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

189 services175 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

188 services188 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

138 services127 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

125 services125 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

110 services97 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

41 services27 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

19 services17 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

18 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

18 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

14 services14 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

24.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Promoting Interoperability

Improvement Activities

Cost

80.45

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

69%135 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MORDECAI M. WITKIN D.P.M.

Podiatrist (Primary Podiatric Medicine)

504 VALLEY RD
WAYNE, NJ 07470

Passaic County (973) 696-6677

UNIVERSITY SPINE CENTER, P.C.

Specialist

504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470

Passaic County (973) 686-0700

DR. ANTHONY NMI FESTA MD

Orthopaedic Surgery (Sports Medicine)

504 VALLEY RD, SUITE 200
WAYNE, NJ 07470

Passaic County (973) 694-2690

MR. KUMAR GAUTAM SINHA M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

504 VALLEY RD, STE 203
WAYNE, NJ 07470

Passaic County (973) 686-0700

DR. KI SOO HWANG M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470

Passaic County (973) 686-0700

SIGNAL NEUROMONITORING, LLC

Specialist/Technologist, Other (Electroneurodiagnostic)

504 VALLEY RD
WAYNE, NJ 07470

Passaic County (973) 686-0700

CRAIG WRIGHT M.D.

Orthopaedic Surgery (Orthopaedic Trauma)

504 VALLEY RD, SUITE 200
WAYNE, NJ 07470

Passaic County (973) 694-2690

ADVANCED HAND SURGERY AND ORTHOPEDICS PA

Orthopaedic Surgery (Hand Surgery)

504 VALLEY RD, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Borkowski's NPI number?

The NPI number for Douglas Borkowski is 1285769851. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Douglas Borkowski located?

Douglas Borkowski practices at 504 Valley Rd Suite 200, Wayne, NJ 07470. The listed phone number is (973) 694-2690.

What is Douglas Borkowski's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Douglas Borkowski enrolled in Medicare?

Yes. Douglas Borkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Borkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Borkowski reassigns Medicare benefits to 4 organizations: New Jersey Orthopaedic Institute, LLC (Wayne, NJ), Drx Paramus, LLC (Paramus, NJ), Jersey Irish Medical (Bound Brook, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Borkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Borkowski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Douglas Borkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Borkowski was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.