DR. ANDREW MICHAEL BORUTA (DO) – Anesthesiology Physician, NPI 1972771772

DR. ANDREW MICHAEL BORUTA (DO) is a healthcare provider. based in Hackensack, New Jersey. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 25MB08899300 (NJ). The NPI Number for DR. ANDREW MICHAEL BORUTA (DO) is 1972771772

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW MICHAEL BORUTA (DO)
NPI
1972771772
Phone
(201) 488-0066
Address
25 MAIN ST STE 103
Enumeration Date
14 February 2008
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2016203010
Graduation Year
2007 (19 years ago)
PAC ID
4385813799
Group Practice PAC ID
0446639306
Professional Enrollment ID
I20110801000603
Address ID
NJ088165400EA561XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

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Provider Addresses for DR. ANDREW MICHAEL BORUTA (DO)

  • 103, Main Street, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076017032

    Phone: (201) 488-0066

    Fax: (201) 488-7048

    Type: Mailing

  • Hackensack University Medical Center at Pascack Valley, 250, Old Hook Road, Westwood, Bergen County, New Jersey, 07675, United States

    WESTWOOD, NJ 076753123

    Phone: (201) 383-1035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110801000603IAnesthesiologyNJTBD
I20210120002400IAnesthesiologyNYTBD

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
00142Anesthesia for lens surgery2423$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
01844Anesthesia for placement or revision of blood flow shunt2119$0
00910Anesthesia for other procedure on urinary system through urethra1313$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446639306View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do I look up DR. ANDREW MICHAEL BORUTA (DO) by NPI?
Use NPI 1972771772 when you need to reference DR. ANDREW MICHAEL BORUTA (DO) in forms, claims, or directories.
Is DR. ANDREW MICHAEL BORUTA (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. ANDREW MICHAEL BORUTA (DO) treat or focus on?
Patients typically see DR. ANDREW MICHAEL BORUTA (DO) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW MICHAEL BORUTA (DO)?
We surface Hackensack, New Jersey for DR. ANDREW MICHAEL BORUTA (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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