Individual provider Active NPI

Borislava Burt-Libo, D.O.

  • Obstetrics & Gynecology Physician
  • Freehold, NJ
National Provider Identifier
1053532465
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2434811 Issued in NY
Practice address
312 Professional View Dr
BLDG 300
Freehold, NJ 07728-7904
Phone
(732) 431-1616
NPI assigned
May 1, 2007
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2434811 NY Primary

Addresses

Primary practice location

312 Professional View Dr
BLDG 300
Freehold, NJ 07728-7904

Mailing address

227 Laurel Rd
Ste 300
Voorhees, NJ 08043-8303
Phone (856) 669-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000421 NJ Practitioner - Obstetrics/Gynecology 4486825569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2434811NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Obstetrics & Gynecology CurrentSince Jan 6, 2025 Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology CurrentSince Nov 14, 2016 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Nov 14, 2016 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Dec 18, 2023 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients
Centrastate Specialists, P.C. PastSince Jan 6, 2025 Accepting new patients

Locations

501 Iron Bridge Rd
Ste 10
Freehold, NJ 07728
Phone (732) 431-2999

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Bldg B
Freehold, NJ 07728
Phone (732) 303-1616

901 W Main St
Fl 3
Freehold, NJ 07728

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

510 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-5552

479 Highway 520
Ste A202
Marlboro, NJ 07746
Phone (732) 837-1130

245 Main St
Ste A
Matawan, NJ 07747
Phone (732) 566-9466

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: bburtlibo425014@direct.ahsys.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1053532465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL RD",
            "address_2": "STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438303",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PROFESSIONAL VIEW DR",
            "address_2": "BLDG 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-431-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT-LIBO",
        "first_name": "BORISLAVA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2434811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.