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Organization

NOVUS REGENERATIVE INSTITUTE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BORIS MORDKOVICH (PRESIDENT)
(201) 341-6566
Entity
Organization

Contact information

Practice address
47 ORIENT WAY, 3 FL SUITE B, RUTHERFORD, NJ 07070
(973) 955-8836
(973) 779-7385
Mailing address
22-08 ROUTE 208 STE 13, FAIR LAWN, NJ 07410-2609
(973) 779-7361
(973) 779-7385

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208VP0014X
Interventional Pain Medicine Physician
213E00000X
Podiatrist

Other

Enumeration date
06/18/2026
Last updated
06/18/2026
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