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DR. BORIS BORODULIN M.D.
NPI 1770646358
Psychiatry & Neurology - Psychiatry in East Brunswick, NJ

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
180 TICES LN BLDG A, STE 205, EAST BRUNSWICK, NJ 08816(732) 247-1040(732) 247-1041 Get Directions Write a Review

NPPES record last updated: May 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2025, Dec 23, 2018 (2 updates tracked since 2018).

About Dr. Boris Borodulin M.d. NPPES

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

DR. BORIS BORODULIN M.D. (NPI 1770646358) is an individual psychiatry provider in East Brunswick, New Jersey, licensed in New Jersey (MA62423) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1770646358
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BORIS BORODULINCredential: M.D.
Location Address180 TICES LN BLDG A, STE 205East Brunswick, NJ 08816-1345
Mailing Address180 Tices Ln Bldg A, Ste 205East Brunswick, NJ 08816-1345 · (732) 247-1040 · Fax (732) 247-1041
Phone(732) 247-1040
Fax(732) 247-1041
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 25, 20252 updates tracked since enumeration
NPPES CertifiedMay 25, 2025
✔ NPI 1770646358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · MA62423
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
180 TICES LN BLDG A, East Brunswick, NJ 08816
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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

Dr. Boris Borodulin 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 ID9436236577
PECOS Enrollment IDI20080414000353
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 4

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.

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.
2,985 services556 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
88 services88 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.
75 services52 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

MRS. ANTOINETTE DIXON-THOMPSON LCSW, LCADC
Social Worker (Clinical)
180 TICES LN BLDG A
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 510-0565

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 Boris Borodulin's NPI number?

The NPI number for Boris Borodulin is 1770646358. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Boris Borodulin located?

Boris Borodulin practices at 180 Tices Ln Bldg A Ste 205, East Brunswick, NJ 08816. The listed phone number is (732) 247-1040.

What is Boris Borodulin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Boris Borodulin enrolled in Medicare?

Yes. Boris Borodulin 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.

When was this NPI record last updated?

The NPPES record for Boris Borodulin was last updated on May 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.