Rudolph Harold Borgersen

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25828 Issued in NJ

Practice address

501 Stillwells Corner Rd
Freehold, NJ 07728

Phone

(732) 780-3330

Fax

(732) 780-4385

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 1971

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  • Home Health Agency
  • Toms River, NJ
  • NPI 1912964818
  Care Compare affiliation

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1063568020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STILLWELLS CORNER RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-3330",
            "fax_number": "732-780-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STILLWELLS CORNER RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-3330",
            "fax_number": "732-780-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGERSEN",
        "first_name": "RUDOLPH",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas P Bonazinga, M.D.
• Melissa Bonilla, MD
• Stephanie Borai
• Ronald Borchers, OD
• Kenneth Bordfeld
• Gianna Marie Borriello
• Patrick James Borromeo, PT
• Kasey Bracco, APN
• Brad Morder LPC LLC
• Allison Bragen, D.P.T.

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.