Individual provider Active NPI

Mark Gregory Borek, M.D.

  • Cardiovascular Disease Physician
  • East Setauket, NY
National Provider Identifier
1922012707
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
156922 Issued in NY
Practice address
26 Research Way
East Setauket, NY 11733
Phone
(631) 444-9970
Fax
(631) 444-5247
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 156922 NY Primary

Addresses

Primary practice location

26 Research Way
East Setauket, NY 11733

Mailing address

Nichols Road
Cardiology Division, Suny, HSC, T16-080
Stony Brook, NY 11794-8167
Phone (631) 444-1060

Other identifiers 1

IdentifierTypeStateIssuer
01297103MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000090 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 2668501578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Medical Professionals, PLLCGroup PAC ID 3971747296, 5 clinicians

Practice addresses (Care Compare)

496 Smithtown Byp
Suite 101
Smithtown, NY 11787-5010
Phone (631) 979-8880

5225 Rte
347 Suite 23
Port Jefferson Station, NY 11776-2058
Phone (631) 473-8880

Merit-based Incentive Payment System (MIPS)

Final score
78.98 of 100Reported as individual
Quality
84.16
Improvement activities
40
Cost
51.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Professionals, PLLC Cardiovascular Disease CurrentSince Sep 1, 2013 Accepting new patients
Cardiac Ekg Interpretation, P. C. Cardiovascular Disease CurrentSince Mar 15, 2010 Accepting new patients
Seymour B. Musiker MD, PC Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

5225 Route 347
Ste 23
Port Jefferson Station, NY 11776
Phone (631) 473-8880

496 Smithtown Byp
Ste 101
Smithtown, NY 11787
Phone (631) 880-1365

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mborek15665@direct-chsli.net

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1922012707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICHOLS ROAD",
            "address_2": "CARDIOLOGY DIVISION, SUNY, HSC, T16-080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948167",
            "telephone_number": "631-444-1060",
            "fax_number": "631-444-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RESEARCH WAY",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-444-9970",
            "fax_number": "631-444-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREK",
        "first_name": "MARK",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "156922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.