Gwen Borsenberger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012366-1 Issued in NY

Practice address

109 Woodlake Dr
Middletown, NY 10940-4267

Phone

(914) 443-4287

Fax

(845) 568-2946

NPI assigned

Oct 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1427200542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WOODLAKE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WOODLAKE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404267",
            "telephone_number": "914-443-4287",
            "fax_number": "845-568-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSENBERGER",
        "first_name": "GWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012366-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bongiorno, MD
• Zachary Bonitz
• Bharathi V Bonthu, M.D.
• Nathan Bookbinder
• Thomas John Booker, MD
• Danielle M Bortnick, PTA
• Teresa Jean Bosch, BA, CASAC
• Kathleen Bosko, PA-C
• Ann Y. Bou, D.D.S.
• Charles Bou, MD

• Speech-Language Pathologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.