Carlos P. Borromeo, Jr., M.D., PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA02665200 Issued in NJ

Legal business name

CARLOS P. BORROMEO, JR., M.D., PA

Practice address

5052 Westfield Ave
Pennsauken, NJ 08110-2818

Phone

(856) 663-3725

Fax

(856) 663-1550

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carlos P. Borromeo Jr., M.D.

Title

Medical Director

Phone

(856) 663-3725

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609049345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102818",
            "telephone_number": "856-663-3725",
            "fax_number": "856-663-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102818",
            "telephone_number": "856-663-3725",
            "fax_number": "856-663-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS P. BORROMEO, JR., M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BORROMEO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-663-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA02665200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0079604001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6329403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Primary Care Clinic/Center in New Jersey

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