STANISLAV BORODYANSKY PA-C
NPI 1619328564
Physician Assistant - Surgical in Camden, NJ

Q: What is Stanislav Borodyansky's NPI number?

The NPI number for Stanislav Borodyansky is 1619328564. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Stanislav Borodyansky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment

3 COOPER PLZ RM 408, CAMDEN, NJ 08103(856) 968-7363 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2019, Apr 10, 2019, Jun 22, 2016 (3 updates tracked since 2016).

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About Stanislav Borodyansky Pa-c NPPES

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

STANISLAV BORODYANSKY PA-C (NPI 1619328564) is an individual surgical provider in Camden, New Jersey, licensed in New Jersey (25MP00506000) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1619328564

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSTANISLAV BORODYANSKYCredential: PA-C

Location Address3 COOPER PLZ RM 408Camden, NJ 08103

Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924

Phone(856) 968-7363

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 22, 2016

Last NPPES UpdateMay 8, 20193 updates tracked since enumeration

✔ NPI 1619328564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NJ · 25MP00506000✔ Licensed in PA · MA058251

Also ListedClinical Nurse Specialist · EmergencyTaxonomy 364SE0003X · License PROCESSING (PA)

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License PROCESSING (PA)

3 COOPER PLZ RM 408, Camden, NJ 08103

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Secondary Practice Location 1

Location 1380 Oxford Valley RdLanghorne, PA 19047-8304 · Phone (888) 678-4632

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

Stanislav Borodyansky Pa-c 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 ID4284920257

PECOS Enrollment IDI20190219000222

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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

320 services35 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.

165 services104 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

46 services38 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.

29 services29 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.

23 services22 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 7

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

SUSAN MARINOFF

Occupational Therapist (Physical Rehabilitation)