Individual provider Active NPI

Madelyn Delgado Borges, APRN

  • Gerontology Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1306453683
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11009365 Issued in FL
Practice address
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone
(352) 259-2159
Fax
(352) 259-5731
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310181 NY
Gerontology Nurse Practitioner 363LG0600X 11009365 FL Primary

Addresses

Primary practice location

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Mailing address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Other practice location 1

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 618-0401

Other practice location 2

12177 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 436-0555

Other practice location 3

901 Tivoli Ter Apt 203
Deerfield Beach, FL 33441-7893
Phone (954) 213-3922

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sunrise

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201104000375 FL Practitioner - Nurse Practitioner 7810307782 Reassigns benefits to 4 organizations
I20210513002995 NY Practitioner - Nurse Practitioner 7810307782 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310181NYMDPediatrics Physician
F310181NYMDAdult Health Nurse Practitioner
11009365FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dinesh Sethi Physician PC CurrentSince Jul 22, 2023 Accepting new patients
Premier Medical Associates All Florida, LLC Adult Health CurrentSince Feb 12, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2021 Accepting new patients
Infinite Medical PC CurrentSince Aug 12, 2023 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Feb 12, 2024 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Feb 12, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 1, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 1, 2021 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

3533 E Silver Springs Blvd
Ocala, FL 34470

3529 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 622-5298

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

2015 Grand Concourse
#13202
Bronx, NY 10453

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

1521 Straight Path
Wyandanch, NY 11798
Phone (631) 643-3800

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1306453683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534303",
            "country_code": "US",
            "telephone_number": "718-618-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12177 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33025",
            "country_code": "US",
            "telephone_number": "954-436-0555",
            "fax_number": "954-436-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Tivoli Ter Apt 203",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334417893",
            "country_code": "US",
            "telephone_number": "954-213-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO BORGES",
        "first_name": "MADELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310181",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11009365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sunrise",
            "affiliation": "N",
            "address_1": "1300 Concord Ter Ste 2010",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333232899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.