Individual provider Active NPI

Patrick I Borgen, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1700860301
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
184374 Issued in NY
Practice address
745 64TH St Ste 1
Brooklyn, NY 11220-4753
Phone
(718) 765-2570
Fax
(718) 765-2569
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 184374 NY Primary

Addresses

Primary practice location

745 64TH St Ste 1
Brooklyn, NY 11220-4753

Mailing address

6300 8TH Avenue
Box 3
Brooklyn, NY 11220
Phone (718) 765-2570

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
I20070312000577 NY Practitioner - Surgical OncologyPractitioner - General Surgery 4486757473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC Division of Breast SurgeryGroup PAC ID 0244297240, 6 clinicians

Practice addresses (Care Compare)

6300 8TH Ave
Brooklyn, NY 11220-4718
Phone (718) 765-2600

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 22, 2019 Accepting new patients
MMC Division of Breast Surgery Surgery CurrentSince Aug 18, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

6300 8th Ave
#3
Brooklyn, NY 11220

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

745 64th St
Ste 1
Brooklyn, NY 11220
Phone (718) 765-2547

6300 8th Ave
Brooklyn, NY 11220
Phone (718) 765-2600

745 64th St
Brooklyn, NY 11220
Phone (718) 765-2570

Networks

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

Interoperability endpoints

  • Direct secure messaging: patrickborgen@mai.allscriptsdirect.net
  • Direct secure messaging: patrick.borgen.p1@direct.mmc.nextgenshare.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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1700860301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 8TH AVENUE",
            "address_2": "BOX 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-765-2570",
            "fax_number": "718-765-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204753",
            "telephone_number": "718-765-2570",
            "fax_number": "718-765-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGEN",
        "first_name": "PATRICK",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "184374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.