Organization Active NPI

Melissa Borrero MD, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • New York, NY
National Provider Identifier
1063779346
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
254370 Issued in NY
Legal business name
MELISSA BORRERO MD, PLLC
Practice address
405 E 116TH St
Unit 2
New York, NY 10029-1623
Phone
(917) 561-0500
Fax
(888) 621-8796
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Melissa Borrero, M.D.
Title
Owner/Physician
Phone
(917) 561-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 254370 NY Primary

Addresses

Primary practice location

405 E 116TH St
Unit 2
New York, NY 10029-1623

Mailing address

405 E 116TH St
Unit 2
New York, NY 10029-1623
Phone (917) 561-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1063779346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E 116TH ST",
            "address_2": "UNIT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291623",
            "telephone_number": "917-561-0500",
            "fax_number": "888-621-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E 116TH ST",
            "address_2": "UNIT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291623",
            "telephone_number": "917-561-0500",
            "fax_number": "888-621-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BORRERO MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "917-561-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "254370",
            "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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.