Individual provider Active NPI

Christine Bordas, NP

  • Adult Health Nurse Practitioner
  • Chestnut Ridge, NY
National Provider Identifier
1467405076
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303780 Issued in NY
Practice address
241 Hungry Hollow Rd
Chestnut Ridge, NY 10977-6111
Phone
(845) 353-5600
Fax
(845) 353-3474
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303780 NY Primary

Addresses

Primary practice location

241 Hungry Hollow Rd
Chestnut Ridge, NY 10977-6111

Mailing address

241 Hungry Hollow Rd
Chestnut Ridge, NY 10977-6111
Phone (845) 356-8494

Other identifiers 1

IdentifierTypeStateIssuer
02631152MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040527001353 NY Practitioner - Nurse Practitioner 9739160441 Practice locations: Chestnut Ridge, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

241 Hungry Hollow Rd
Chestnut Ridge, NY 10977-6111
Phone 84535684941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303780NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Medical Associates Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Rudolf Steiner Fellowship Foundation, Inc. PastSince Nov 8, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christine.bordas@fca-ny.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1467405076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HUNGRY HOLLOW RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776111",
            "telephone_number": "845-356-8494",
            "fax_number": "845-356-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 HUNGRY HOLLOW RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776111",
            "telephone_number": "845-353-5600",
            "fax_number": "845-353-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDAS",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02631152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

Verify at the official NPI Registry.