Individual provider Active NPI

Borislav Stoev, D.O

  • Emergency Medicine Physician
  • York, PA
National Provider Identifier
1457536203
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08780600 Issued in NJ
Practice address
232 Oak Ridge Dr
York, PA 17402-4619
Phone
(717) 851-2345
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS014683 PA
Emergency Medicine Physician 207P00000X 25MB08780600 NJ Primary

Addresses

Primary practice location

232 Oak Ridge Dr
York, PA 17402-4619

Mailing address

232 Oak Ridge Drive
York, PA 17402

Other identifiers 3

IdentifierTypeStateIssuer
2105724OtherPAHIGHMARK BLUE SHIELD
102300170MedicaidPA
1583306OtherPAGATEWAY-YH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101022000816 NJ Practitioner - Emergency Medicine 0648325134 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08780600NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Urgent Care, PC CurrentSince May 1, 2021 Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
Southern Bank Emergency Physicians LLC Emergency Medicine CurrentSince Jul 23, 2010 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Dec 6, 2024 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince May 1, 2021 Accepting new patients
Saint Peter'S Healthcare System Physician Associates Past Accepting new patients

Locations

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.borislavstoev@136290.advancedmd-direct.com

Organizations & group practices 7

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1457536203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 OAK RIDGE DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 OAK RIDGE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024619",
            "telephone_number": "717-851-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEV",
        "first_name": "BORISLAV",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014683",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08780600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2105724",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102300170",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-YH",
            "identifier": "1583306",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.