Mangesh Rajan Borkar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029068 Issued in NY

Practice address

67100 Dartmouth St
Forest Hills, NY 11375

Phone

(317) 902-5666

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1902097264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67100 DARTMOUTH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754148",
            "telephone_number": "317-902-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67100 DARTMOUTH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "317-902-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6860 Austin St",
            "address_2": "suite 202",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754242",
            "country_code": "US",
            "telephone_number": "718-575-9734",
            "fax_number": "718-575-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORKAR",
        "first_name": "MANGESH",
        "middle_name": "RAJAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009211A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillieth Jeanette Boniello, MSW
• Bonnie S. Glassman DC PC
• Arsalan Boodhun
• Boon Speech Therapy PC
• Howard Scott Boriskin, MD
• Elcy Borrero Tovar
• Rafael Boruchov, DDS
• Alexander Borukhov, D.M.D.
• Shamuel Borukhov, PHARMD
• Mazoltuv Borukhova, MD

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.