Individual provider Active NPI

Regina Borovik, FNP-C

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1679625685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334183 Issued in NY
Practice address
256 C Mason Ave
Staten Island, NY 10305-3498
Phone
(718) 226-6231
Fax
(718) 226-6164
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334183 NY Primary

Addresses

Primary practice location

256 C Mason Ave
Staten Island, NY 10305-3498

Mailing address

256 C Mason Ave
Staten Island, NY 10305-3498
Phone (718) 226-6231

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929001347 NY Practitioner - Nurse Practitioner 5294000352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
A Friendly Face Akademy Corp.Group PAC ID 3779927553, 8 clinicians

Practice addresses (Care Compare)

1887 Richmond Ave
Staten Island, NY 10314-3939
Phone (718) 698-1300

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Jul 29, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jul 29, 2017 Accepting new patients

Locations

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

256 Mason Ave
#C
Staten Island, NY 10305
Phone (718) 226-1251

Interoperability endpoints

  • Direct secure messaging: rborovik27888@northwell.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679625685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 C MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053498",
            "telephone_number": "718-226-6231",
            "fax_number": "718-226-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 C MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053498",
            "telephone_number": "718-226-6231",
            "fax_number": "718-226-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROVIK",
        "first_name": "REGINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.