Organization Active NPI

Bornstein Group, PLLC

  • Dermatology Physician
  • Ann Arbor, MI
National Provider Identifier
1730840596
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BORNSTEIN GROUP, PLLC
Doing business as
Ann Arbor Saline Dermatology
Practice address
2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600
Phone
(734) 926-9908
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Joshua Bornstein, MDNPI 1437500360
Title
Doctor/Owner
Phone
(734) 926-9908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600

Mailing address

2411 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7600

Other names 1

  • Ann Arbor Saline Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220512000136 MI Part B Supplier - Clinic/Group Practice 5193102259 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

126 S Main St
Ann Arbor, MI 48104

2411 Oak Valley Dr
Ste 400
Ann Arbor, MI 48103
Phone (734) 926-9908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1730840596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037600",
            "telephone_number": "734-926-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNSTEIN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "734-926-9908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Arbor Saline Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.