Active NPI
Melissa Borrero MD, PLLC
- Geriatric Medicine (Family Medicine) Physician
- New York, NY
National Provider Identifier
1063779346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 254370
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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 DirectoryNPI 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.