MR. BRIAN W. BOOCKOFF PA-C
NPI 1326312430
Physician Assistant - Surgical in Woodbury, NJ

NPI Status: Active since March 07, 2012

Contact Information

414 TATUM ST
WOODBURY, NJ
ZIP 08096
Phone: (856) 848-3880
Fax: (856) 848-4895

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
Surgical
PECOS Enrolled

About BRIAN BOOCKOFF

This page provides the complete NPI Profile along with additional information for Brian Boockoff, a provider established in Woodbury, New Jersey with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1326312430 assigned on March 2012. The practitioner's primary taxonomy code is 363AS0400X with license number 25MP00280500 (NJ). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI: 1326312430
Provider Name: MR. BRIAN W. BOOCKOFF PA-C
Gender: Male
Entity Type: Individual
Location Address: 414 TATUM ST WOODBURY, NJ 08096
Location Phone: (856) 848-3880
Location Fax: (856) 848-4895
Mailing Address: 500 GROVE ST SUITE 100 HADDON HEIGHTS, NJ 08035
Mailing Phone: (856) 796-9200
Mailing Fax: (856) 848-4895
Is Sole Proprietor?: No
Enumeration Date: 03-07-2012
Last Update Date: 04-03-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 25MP00280500
License State: NJ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant Medical	25MP00280500 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
336082AQV	MEDICARE PIN (08)

Medicare Participation & PECOS Enrollment Status

Brian Boockoff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	2	6	3	1	2	4	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	4	6	6	1	4	4	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 1 + 4 + 4 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1326312430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.