Individual provider Active NPI

Stephanie Marie Borgeson, PHARMD

  • Pharmacist
  • Forked River, NJ
National Provider Identifier
1578899704
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03226000 Issued in NJ
Practice address
528 West Lacey Road
Forked River, NJ 08731
Phone
(609) 242-1400
Fax
(609) 242-1496
NPI assigned
Oct 22, 2009
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03226000 NJ Primary

Addresses

Primary practice location

528 West Lacey Road
Forked River, NJ 08731

Mailing address

528 W Lacey Rd
Forked River, NJ 08731-1502
Phone (609) 242-1400

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03226000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1578899704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311502",
            "telephone_number": "609-242-1400",
            "fax_number": "609-242-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WEST LACEY ROAD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "609-242-1400",
            "fax_number": "609-242-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGESON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03226000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.