Individual provider Active NPI

Aleyda M Borge, MD

  • Internal Medicine Physician
  • Cooper City, FL
National Provider Identifier
1417033432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MEOO59138 Issued in FL
Practice address
5500 South Flamingo Road
Suite 204
Cooper City, FL 33330
Phone
(954) 252-8797
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MEOO59138 FL Primary

Addresses

Primary practice location

5500 South Flamingo Road
Suite 204
Cooper City, FL 33330

Mailing address

5500 South Flamingo Road
Suite 204
Cooper City, FL 33330
Phone (954) 252-8797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000478 FL Practitioner - Internal Medicine 5193753655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MEOO59138FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aleyda M Borge MD PA Internal Medicine CurrentSince Jul 10, 2013 Accepting new patients

Locations

9710 Stirling Rd
Ste 103
Hollywood, FL 33024
Phone (954) 404-7311

Interoperability endpoints

  • Direct secure messaging: aleyda.borge@616517187207172.direct.elationemr.com

Organizations & group practices 1

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417033432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SOUTH FLAMINGO ROAD",
            "address_2": "SUITE 204",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-252-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SOUTH FLAMINGO ROAD",
            "address_2": "SUITE 204",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-252-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGE",
        "first_name": "ALEYDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "MEOO59138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

Verify at the official NPI Registry.