DR. BORIS BORODULIN (M.D.) – Psychiatry Physician, NPI 1770646358

DR. BORIS BORODULIN (M.D.) is a healthcare provider. based in East brunswick, New Jersey. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MA62423 (NJ). The NPI Number for DR. BORIS BORODULIN (M.D.) is 1770646358

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BORIS BORODULIN (M.D.)
NPI
1770646358
Phone
(732) 247-1040
Address
180 TICES LN BLDG A
Enumeration Date
18 December 2006
Last Update Date
25 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322471040
Graduation Year
1984 (42 years ago)
PAC ID
9436236577
Professional Enrollment ID
I20080414000353
Address ID
NJ088161337EA180XXLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,050 PSYCHIATRY in NJ

Provider Addresses for DR. BORIS BORODULIN (M.D.)

  • 180 TICES LN BLDG A

    STE 205

    EAST BRUNSWICK, NJ 088161345

    Phone: (732) 247-1040

    Fax: (732) 247-1041

    Type: Location

  • Tices Lane, Mid State Mall, Washington Heights, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088161345

    Phone: (732) 247-1040

    Fax: (732) 247-1041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 485 Open Payments records for all available years, with a total value of $40,984.

Total Amount is formed as General ($40,984) + Research ($0) + Ownership ($0) = $40,984.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($32,200).

Total Amount

$40,984

General + Research + Ownership

Payments

485

Total payment records

General Amount

$40,984

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080414000353IPsychiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3,059577$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes13660$0
90791Psychiatric diagnostic evaluation7878$0
99214Established patient office or other outpatient visit, 30-39 minutes3220$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 08816)

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Reviews

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Frequently asked questions

What identifier follows DR. BORIS BORODULIN (M.D.) across health systems?
The NPI 1770646358 uniquely identifies DR. BORIS BORODULIN (M.D.) in U.S. healthcare data.
Should I treat DR. BORIS BORODULIN (M.D.) as an active provider?
Patients and plans typically see DR. BORIS BORODULIN (M.D.) as active in the national extract.
What type of care does DR. BORIS BORODULIN (M.D.) provide?
DR. BORIS BORODULIN (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BORIS BORODULIN (M.D.)?
DR. BORIS BORODULIN (M.D.) is associated with East Brunswick, New Jersey in the same public data insurers reference.
Who maintains DR. BORIS BORODULIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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