Dr Jay Bornstein DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1564 Issued in FL

Legal business name

DR JAY BORNSTEIN DPM PA

Doing business as

Bornstein Podiatry Group

Practice address

3009 Aloma Ave
Winter Park, FL 32792-3701

Phone

(407) 657-9188

Fax

(407) 677-4770

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gerald B BornsteinNPI 1598771107

Title

Physician Owner

Phone

(407) 657-9188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bornstein Podiatry Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald B Bornstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Winter Park, FL
  • NPI 1598771107
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1922114545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923701",
            "telephone_number": "407-657-9188",
            "fax_number": "407-677-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923701",
            "telephone_number": "407-657-9188",
            "fax_number": "407-677-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY BORNSTEIN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN  OWNER",
        "authorized_official_telephone_number": "407-657-9188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP #",
            "identifier": "DB3242",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bornstein Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.