Individual provider Active NPI

Julia Boroday

  • Primary Care Nurse Practitioner
  • Port Washington, NY
National Provider Identifier
1841920949
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
310762 Issued in NY
Practice address
13A Inwood Rd
Port Washington, NY 11050-1556
Phone
(718) 406-5881
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 310762 NY Primary

Addresses

Primary practice location

13A Inwood Rd
Port Washington, NY 11050-1556

Mailing address

13A Inwood Rd
Port Washington, NY 11050-1556

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201000265 NY Practitioner - Nurse Practitioner 0648648345 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310762NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lefferts Medical Associates PC CurrentSince Sep 1, 2022 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Jan 12, 2024 Accepting new patients
Balveen Singh MD PLLC PastSince Jun 5, 2023 Accepting new patients
Instant Medical Care, PC PastSince Apr 11, 2021 Accepting new patients

Locations

808 Hicksville Rd
Ste 101
Massapequa, NY 11758
Phone (516) 597-4242

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

27005 76th Ave
North New Hyde Pk, NY 11040

2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-6500

1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1841920949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13A INWOOD RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A INWOOD RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501556",
            "telephone_number": "718-406-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORODAY",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "310762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.