Roger Borchardt, MD, LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

25MA08749100 Issued in NJ

Legal business name

ROGER BORCHARDT, MD, LLC

Practice address

88 Brownstone Way
#107
Englewood, NJ 07631-1201

Phone

(201) 679-2470

Fax

(201) 300-4384

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roger Borchardt, MD

Title

President

Phone

(201) 679-2470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1114237351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076310648",
            "telephone_number": "201-679-2470",
            "fax_number": "201-300-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BROWNSTONE WAY",
            "address_2": "#107",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311201",
            "telephone_number": "201-679-2470",
            "fax_number": "201-300-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER BORCHARDT, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-679-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08749100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill W Rocke, O.D.
• Rockland Psychiatric Center
• Annemarie Roco
• David Rodriguez, LCSW
• Tiffany M Rodriguez, M.S., CCC-SLP
• David T Rogers
• Yookee Kerri Roh
• Francine J Rojas, LCSW
• Manuel Romo Crisostomo
• Norman A Roque, PT, OCS, CHT

• Interventional Cardiology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Interventional Cardiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.