Gale Bornkamp, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NN06057300 Issued in NJ

Practice address

703 Main Street
Paterson, NJ 07503

Phone

(845) 368-5610

NPI assigned

Jun 15, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1811192339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 FIFTH STREET",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "845-368-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNKAMP",
        "first_name": "GALE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN06057300",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Bontemps, MD
• Grace Boone
• Deniece Tamara Boothe, D.O.
• Charles S Borgen
• Hillary Borja
• Durim Borova
• Ian R Borralho, MSW, LSW
• Mouna Boulares
• Linda Marie Bowersox, APN, MSN
• Kevser Boy

• Nurse Practitioner in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.