Mary-Jane Elizabeth Borst, NP
Individual provider Active NPI Family Nurse Practitioner · New Hartford, NY
NPI 1033628433 · NPPES record last updated Sep 28, 2017
Key facts
- NPI
- 1033628433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 342099 (NY)
- Practice address
- 3946 Oneida St
New Hartford, NY 13413-9702 - Phone
- (315) 624-8300
- Fax
- (315) 624-8310
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213001493 | NY | Practitioner - Nurse Practitioner | 4183982531 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients |
Locations
3946 Oneida St
New Hartford, NY 13413
Phone (315) 624-8300
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 342099 | NY | Yes |
Addresses
Primary practice location
3946 Oneida St
New Hartford, NY 13413-9702
Mailing address
2209 Genesee St.
Business Office
Utica, NY 13501-5930
Phone (315) 801-3282
Other providers in New Hartford, NY
- Blooming Pediatric & Family Nurse Practitioners PLLC
- Shannon Blume-Kesselring
- Louise Cecilia Bonacci
- Katie Marisa Bono
- Mary L Borruso
- Boscovs Department Store LLC
- Lisa Boyce
- Dewey Boyer
- Judith Gschwind Braman
- Julia A Bramley
All providers in New Hartford, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.