Individual provider Active NPI

Mrinalini B Borczuk, MD

  • Allergy & Immunology Physician
  • New York, NY
National Provider Identifier
1861438376
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
190899 Issued in NY
Practice address
135 E 37TH St
New York, NY 10016-3083
Phone
(212) 677-7170
Fax
(212) 677-8501
NPI assigned
Jun 22, 2006
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 190899 NY Primary

Addresses

Primary practice location

135 E 37TH St
New York, NY 10016-3083

Mailing address

316 E 30TH St FL 2
New York, NY 10016-8366
Phone (212) 614-0039

Other practice location 1

91 Searingtown Rd
Albertson, NY 11507-1125
Phone (516) 780-4124

Other practice location 2

1111 44th Dr
suite A
Long Island City, NY 11101-5107
Phone (516) 780-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190899NYMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1861438376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 30TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168366",
            "telephone_number": "212-614-0039",
            "fax_number": "212-253-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163083",
            "telephone_number": "212-677-7170",
            "fax_number": "212-677-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Searingtown Rd",
            "address_purpose": "LOCATION",
            "city": "Albertson",
            "state": "NY",
            "postal_code": "115071125",
            "country_code": "US",
            "telephone_number": "516-780-4124",
            "fax_number": "844-898-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 44th Dr",
            "address_2": "suite A",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111015107",
            "country_code": "US",
            "telephone_number": "516-780-4124",
            "fax_number": "516-776-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORCZUK",
        "first_name": "MRINALINI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "190899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.