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

Nikolay Bogush

Individual provider Cardiovascular Disease Physician · NPI 1396164893

Nikolay Bogush is a Cardiovascular Disease (Cardiology) in Ridgewood, New Jersey. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2014, 12 years ago. Practices with Valley Physician Services PC, a 592-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NJ
In the registry since
2014
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Practice location Address checks out

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone: (410) 328-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 25MA11396900 (NJ)

Record details

NPI number1396164893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2014
Last updated in NPPESMarch 8, 2024
Certification dateAugust 6, 2023
Mailing address1200 E Ridgewood Ave Ste 309, Ridgewood, NJ 07450-3937

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Valley Physician Services Pc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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