Individual provider Active NPI

Stephan Borbely, DPM

  • Foot Surgery Podiatrist
  • Elmwood Park, NJ
National Provider Identifier
1679570725
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00219000 Issued in NJ
Practice address
241 Molnar Drive Suite 203
Elmwood Park, NJ 07407-2038
Phone
(201) 703-3330
Fax
(201) 703-3332
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00219000 NJ Primary

Addresses

Primary practice location

241 Molnar Drive Suite 203
Elmwood Park, NJ 07407-2038

Mailing address

241 Molnar Drive Suite 203
Elmwood Park, NJ 07407-2038
Phone (201) 703-3330

Other identifiers 14

IdentifierTypeStateIssuer
0954280021OtherMETHEALTH
F10891OtherHEALTH NET/PHS
73066OtherFIRST HEALTH
0954280001OtherHEALTHNOW
P55911OtherEMPIRE
62359470OtherMULTIPLAN
010000343-00OtherMHS
0682551000OtherAMERIHEALTH
4140190OtherAMELPLCF
03000219NJ01OtherANTHEM HEALTH
33652OtherUNIVERSITY HEALTH
480019732OtherPALMETTOGBA (RR)
BS717OtherOXFORD
J021212OtherCHAMPUS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00219000NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1679570725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MOLNAR DRIVE SUITE 203",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072038",
            "telephone_number": "201-703-3330",
            "fax_number": "201-703-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MOLNAR DRIVE SUITE 203",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072038",
            "telephone_number": "201-703-3330",
            "fax_number": "201-703-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBELY",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00219000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METHEALTH",
            "identifier": "0954280021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET/PHS",
            "identifier": "F10891",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "73066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "0954280001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "P55911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "62359470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS",
            "identifier": "010000343-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0682551000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMELPLCF",
            "identifier": "4140190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH",
            "identifier": "03000219NJ01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH",
            "identifier": "33652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTOGBA (RR)",
            "identifier": "480019732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "J021212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.