Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Boghossian, MD

Individual provider Infectious Disease Physician · NPI 1083666010

Dr. Jack Boghossian, MD is an Infectious Disease in Bayonne, New Jersey. Graduated from Duke University School of Medicine in 1985, 41 years ago. Practices with Central Avenue Professional Services, PC, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
41
Trained at
Duke University School of Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

631 Broadway
Bayonne, NJ 07002-3846
Phone: (973) 364-2682
Fax: (973) 364-1430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence MA81581 (NJ)

Record details

NPI number1083666010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 26, 2015
Mailing addressPo Box 93, Bayonne, NJ 07002-0093

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Central Avenue Professional Services, Pc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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