Individual provider Active NPI

Joseph E Bornstein, MD, MBA

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1629205182
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.34455 Issued in AL
Practice address
6701 Airport Blvd Ste A208
Mobile, AL 36608-3763
Phone
(251) 633-1981
Fax
(251) 631-3298
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 272632 NY
Surgery Physician 208600000X L-239969 MA
Surgery Physician 208600000X MD.34455 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste A208
Mobile, AL 36608-3763

Mailing address

6701 Airport Blvd Ste D143
Mobile, AL 36608-6701
Phone (251) 342-3949

Other practice location 1

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324001579 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7416110036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Tufts University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor View Medical Services PCGroup PAC ID 5092865873, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

70 N Country Rd
Port Jefferson, NY 11777-2161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-239969MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC Current Accepting new patients
Harbor View Medical Services PC CurrentSince May 6, 2023 Accepting new patients
Harbor View Medical Services PC CurrentSince May 6, 2023 Accepting new patients
Park Avenue Medical Weight and Wellness P.C. Past Accepting new patients
Mobile County Board of Health PastSince Jan 1, 2019 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

70 N Country Rd
Ste 302
Port Jefferson, NY 11777
Phone (631) 476-2767

70 N Country Rd
Ste 102
Port Jefferson, NY 11777
Phone (631) 686-7970

70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037

75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: joseph.bornstein.2@9582.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8551/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1629205182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D143",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086701",
            "telephone_number": "251-342-3949",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A208",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083763",
            "telephone_number": "251-633-1981",
            "fax_number": "251-631-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083709",
            "country_code": "US",
            "telephone_number": "251-266-3580",
            "fax_number": "251-266-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "272632",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "L-239969",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.34455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.