Active NPI
Mercedes Bordera, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1063534238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010298-1
- Practice address
- 420 Madison Ave
Suite 803
New York, NY 10017-1107 - Phone
- (609) 304-7200
- Fax
- (212) 319-0435
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010298-1 | NY | Primary |
Addresses
Primary practice location
420 Madison Ave
Suite 803
New York, NY 10017-1107
Mailing address
420 Madison Ave
Suite 803
New York, NY 10017-1107
Phone (609) 304-7200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010298-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1063534238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MADISON AVE",
"address_2": "SUITE 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171107",
"telephone_number": "609-304-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 MADISON AVE",
"address_2": "SUITE 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171107",
"telephone_number": "609-304-7200",
"fax_number": "212-319-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERA",
"first_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010298-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.