NPIMap

Organization Active NPI

Borg Imaging Group LLP

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1780708479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BORG IMAGING GROUP LLP
Practice address
400 Red Creek Dr Ste 140
Rochester, NY 14623-4273
Phone
(585) 271-0401
Fax
(585) 271-2051
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel B Wopperer, M.D.
Title
Managing Partner
Phone
(585) 271-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 140
Rochester, NY 14623-4273

Mailing address

125 Lattimore Rd
Rochester, NY 14620-4159
Phone (585) 271-0401

Other identifiers 2

IdentifierTypeStateIssuer
00848715MedicaidNY
P0180349590OtherNYBLUE CHOICE

National Provider Directory

National Provider Directory
Tax ID family
Borg Imaging Group LLP7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780708479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204159",
            "telephone_number": "585-271-0401",
            "fax_number": "585-271-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 140",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-271-0401",
            "fax_number": "585-271-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORG IMAGING GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOPPERER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "585-271-0401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848715",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P0180349590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.