Active NPI
Judith Aviva Bornstein-Chau, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1578728176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD435148
- Practice address
- 2601 Holme Ave
Philadelphia, PA 19152-2007 - Phone
- (215) 335-6051
- Fax
- (215) 335-6303
- NPI assigned
- Jul 23, 2008
- Last updated
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD435148 | PA | Primary |
| Hospitalist Physician | 208M00000X | MD435148 | PA |
Addresses
Primary practice location
2601 Holme Ave
Philadelphia, PA 19152-2007
Mailing address
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6051
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089041 | Other | PA | HIGHMARK BLUE SHIELD |
| 3712796000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 102275247-0003 | Medicaid | PA | |
| 1022752470002 | Medicaid | PA | |
| 1022752470001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD435148 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucks County Orthopedic Specialists, PC | Past | Accepting new patients | |
| Nazareth Hospital | Past | Accepting new patients | |
| Cogent Healthcare of Pennsylvania, Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- judith.bornstein-chau@oakstreethealth.gwaydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bucks County Orthopedic Specialists
- Durable Medical Equipment & Medical Supplies
- Langhorne, PA
- NPI 1093454720
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1831126176
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1124023015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1578728176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 HOLME AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522007",
"telephone_number": "215-335-6051",
"fax_number": "215-335-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 HOLME AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522007",
"telephone_number": "215-335-6051",
"fax_number": "215-335-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN-CHAU",
"first_name": "JUDITH",
"middle_name": "AVIVA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD435148",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD435148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2089041",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "3712796000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102275247-0003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022752470002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022752470001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.