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

Mr. Scott David Boruchov, MD

Individual provider Diagnostic Radiology Physician · NPI 1891775755

Mr. Scott David Boruchov, MD is a Diagnostic Radiology in Glassboro, New Jersey. Graduated from New York Medical College in 1994, 32 years ago. Practices with Fort Collins Radiologic Associates PC, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Nebraska, New Jersey and Wyoming.

Years since qualifying
32
Trained at
New York Medical College
Licensed in
CO, NE, NJ, WY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

43 Delsea Dr S Ste A
Glassboro, NJ 08028-2620
Phone: (800) 916-6067
Fax: (800) 643-0747
Show map & directions

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

Additional practice locations (1)

  • 1024 S Lemay Ave, Fort Collins, CO 80524-3929 — (970) 495-7000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA07086700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence CDRH.0063910 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence CP006 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 15411C (WY)

Record details

NPI number1891775755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1994 (32 years in practice)
Group practice Fort Collins Radiologic Associates Pc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare