Active NPI
Barbara Ann Borcik, MS, RD, LD, CDE
- Registered Dietitian
- Reisterstown, MD
National Provider Identifier
1063445047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D00061
- Practice address
- 750 Main St
310
Reisterstown, MD 21136-2515 - Phone
- (410) 526-3061
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D00061 | MD | Primary |
Addresses
Primary practice location
750 Main St
310
Reisterstown, MD 21136-2515
Mailing address
515 Fairmount Ave
Ste 400
Towson, MD 21286-5466
Phone (410) 494-1324
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1142675 | Other | AETNA HMO | |
| 36259 | Medicaid | MD | |
| 039510 | Other | JOHNS HOPKINS HEALTHCARE | |
| 112478 | Other | COVENTRY | |
| 2140424 | Other | UNITED HEALTHCARE | |
| 76956112 | Other | CAREFIRST MARYLAND | |
| 0076 | Other | CAREFIRST DC | |
| 850002900 | Medicaid | MD | |
| 286271 | Other | MAMSI | |
| 7064726 | Other | AETNA PPO | |
| 228457 | Other | KAISER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barbara.borcik.p2@direct.clinicalassociates.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00061 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physicians PA | Past | Accepting new patients | |
| Clinical Associates P a | Past | Accepting new patients |
Interoperability endpoints
- barbara.borcik.p2@direct.clinicalassociates.nextgenshare.com
- barbara.borcikms.p2@direct.clinicalassociates.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1063445047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE",
"address_2": "STE 400",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-494-1324",
"fax_number": "410-494-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MAIN ST",
"address_2": "310",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211362515",
"telephone_number": "410-526-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCIK",
"first_name": "BARBARA",
"middle_name": "ANN",
"credential": "MS, RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D00061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1142675",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36259",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "039510",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "112478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2140424",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "76956112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "0076",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "850002900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "286271",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7064726",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "228457",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "barbara.borcik.p2@direct.clinicalassociates.nextgenshare.com",
"affiliation": "N",
"address_1": "750 Main St",
"address_2": "310",
"city": "Reisterstown",
"state": "MD",
"country_code": "US",
"postal_code": "211362515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.