Henry Borrelli, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00227300 Issued in NJ

Practice address

309 Rock Ave
Green Brook, NJ 08812-2616

Phone

(732) 968-3900

Fax

(732) 968-3944

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Podiatry Associates of New Jersey LLC

  • Podiatrist
  • Green Brook, NJ
  • NPI 1730559196
  Medicare reassignment NPD Authorized official
• H.B. Podiatry P.C.

  • Podiatrist
  • Green Brook, NJ
  • NPI 1619980273
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902839830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 UPPER MOUNTAIN AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431436",
            "telephone_number": "732-968-3900",
            "fax_number": "732-968-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ROCK AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122616",
            "telephone_number": "732-968-3900",
            "fax_number": "732-968-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "HENRY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00227300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7451008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus L Barrios, O.D.
• Lauren Elizabeth Barroqueiro, PA-C
• Ronald Bass
• Catherine Binder, OT
• Kathleen Boniakowski
• Bridgewater Health Associates (Medi-Weightloss of Green Brook)
• Bridgewater-Greenbrook Dental L.L.P
• Rena L Britland, LCSW
• Clair Carragino, APN-C
• David A Carrieri, DO

• Podiatrist in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.