Miriam A Borton, MD PSYCHIATRIST

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA04269900 Issued in NJ

Practice address

65 Mountain Blvd
Suite 211
Warren, NJ 07059-5678

Phone

(732) 356-5665

Fax

(732) 356-0507

NPI assigned

Sep 15, 2006

Last updated

Jun 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• American Institute for Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bound Brook, NJ
  • NPI 1932228194
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1275639601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD",
            "address_2": "SUITE 211",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595678",
            "telephone_number": "732-356-5665",
            "fax_number": "732-356-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD",
            "address_2": "SUITE 211",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595678",
            "telephone_number": "732-356-5665",
            "fax_number": "732-356-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTON",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA04269900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "521140",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Blake, FNP
• Carin Blatteis, L.C.S.W.
• Jennifer Blume, RD
• Stephen Kurt Bobella, M.D.
• Zachary Bonte
• Jennifer Bossard, RD
• Melissa Woods Bouffard, PA-C
• Karen Hardy Brandstaedter, MD
• Vanita Braver, MD
• Eric Joseph Brezina, D.O.

• Psychiatry Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.