JOHN PAUL BOUFFARD M.D.
NPI 1306801931
Pathology - Anatomic Pathology & Clinical Pathology in Berkeley Heights, NJ

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD FL G, BERKELEY HEIGHTS, NJ 07922(908) 277-8699(908) 673-7388 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Paul Bouffard M.d. NPPES

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

JOHN PAUL BOUFFARD M.D. (NPI 1306801931) is an individual anatomic pathology & clinical pathology provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA08115900) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1306801931
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJOHN PAUL BOUFFARDCredential: M.D.
Location Address1 DIAMOND HILL RD FL GBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Fax(908) 673-7388
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1990
Enumeration DateApril 18, 2006
Last NPPES UpdateMay 9, 2022
NPPES CertifiedMay 9, 2022
NPI 1306801931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NJ · 25MA08115900
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X · License 25MA08115900 (NJ)
1 DIAMOND HILL RD FL G, Berkeley Heights, NJ 07922

Other Names 1

Other Name (5)John Paul Bouffard M.d.

Secondary Practice Location 1

Location 199 Beauvoir Ave, Overlook Hospital, Pathology Department, 3rd FloorSummit, NJ 07901-3533 · Phone (908) 522-2147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Paul Bouffard 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 ID2365406022
PECOS Enrollment IDI20070405000026
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.

Areas of Expertise CMS Part B claims 11

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
502 services120 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
494 services213 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
299 services159 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
154 services131 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
88 services78 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
49 services32 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Pathology (Anatomic Pathology & Clinical Pathology)
1 DIAMOND HILL RD FL G
BERKELEY HEIGHTS, NJ 07922
Nurse Practitioner
1 DIAMOND HILL RD FL G
BERKELEY HEIGHTS, NJ 07922
Pathology (Anatomic Pathology & Clinical Pathology)
1 DIAMOND HILL RD FL G
BERKELEY HEIGHTS, NJ 07922

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 John Paul Bouffard's NPI number?

The NPI number for John Paul Bouffard is 1306801931. It was assigned to this individual provider in the NPPES registry on April 18, 2006. The provider is also known as John Paul Bouffard M.D..

Where is John Paul Bouffard located?

John Paul Bouffard practices at 1 Diamond Hill Rd Fl G, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8699.

What is John Paul Bouffard's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Paul Bouffard enrolled in Medicare?

Yes. John Paul Bouffard 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.

Is John Paul Bouffard affiliated with any hospitals?

According to CMS data, John Paul Bouffard is affiliated with Morristown Medical Center, Chilton Medical Center, Newton Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for John Paul Bouffard was last updated on May 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.