Arianne Borda, M.D.
Individual provider Active NPI Pediatrics Physician · Vestal, NY
NPI 1679922934 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1679922934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 299584 (NY)
- Practice address
- 4417 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 797-1251
- Fax
- (607) 729-4393
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190719000807 | NY | Practitioner - Pediatric Medicine | 2466788088 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299584 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Current |
Accepting new patients | |
| United Medical Associates PC | Current |
Accepting new patients | |
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current |
Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current |
Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
161 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6176
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151
161 Riverside Dr
Ste 205
Binghamton, NY 13905
Phone (607) 798-6176
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 299584 | NY | Yes |
Addresses
Primary practice location
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2545
Phone (917) 291-5681
Other providers in Vestal, NY
- James Matthew Bobal
- Anndrea Bohn
- Donna Lee Boisvert
- Louis Ovila Boisvert
- Ashley Elizabeth Borba
- Tayyebeh Nahid Borogerdi
- Henda Bouali
- Dayle Bower
- Karyssa Bowron
- Marilyn S Boyuka
All providers in Vestal, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.