Individual provider Active NPI

Maureen Borstein, CRNP

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1215301023
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015661 Issued in PA
Practice address
708 N Shady Retreat Rd Ste 7
Doylestown, PA 18901-2503
Phone
(215) 340-2229
NPI assigned
Nov 17, 2015
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015661 PA Primary

Addresses

Primary practice location

708 N Shady Retreat Rd Ste 7
Doylestown, PA 18901-2503

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

1203 Langhorne Newtown Rd
Suite 125
Langhorne, PA 19047-1209
Phone (215) 710-5610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maureen.gallagher@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229001970 PA Practitioner - Nurse Practitioner 4082915566 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015661PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 1, 2022 Accepting new patients
OB-GYN Associates of Erie, PC CurrentSince Sep 5, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Regional Women's Health Group, LLC PastSince Jul 4, 2021 Accepting new patients

Locations

708 N Shady Retreat Rd
Ste 7
Doylestown, PA 18901
Phone (215) 340-2229

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

1203 Langhorne Newtown Rd
Ste 125
Langhorne, PA 19047
Phone (215) 710-5610

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: maureen.gallagher@axia.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1215301023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD STE 7",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503",
            "telephone_number": "215-340-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471209",
            "country_code": "US",
            "telephone_number": "215-710-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORSTEIN",
        "first_name": "MAUREEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maureen.gallagher@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1203 Langhorne Newtown Rd",
            "address_2": "Suite 125",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.