Active NPI
Victor Daniel Borkowski, O.D.
- Optometrist
- Lakewood, NJ
National Provider Identifier
1932153079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00411700
- Practice address
- 1700 Madison Ave
Lakewood, NJ 08701-1253 - Phone
- (732) 367-1881
- Fax
- (732) 367-2462
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00411700 | NJ | Primary |
Addresses
Primary practice location
1700 Madison Ave
Lakewood, NJ 08701-1253
Mailing address
1700 Madison Ave
Lakewood, NJ 08701-1253
Phone (732) 367-1881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0979201-01 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6951 Route 9
Howell, NJ 07731-3766
Phone (347) 392-2673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00411700 | NJ | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Howell, NJ
- NPI 1376167767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1932153079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011253",
"telephone_number": "732-367-1881",
"fax_number": "732-367-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011253",
"telephone_number": "732-367-1881",
"fax_number": "732-367-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORKOWSKI",
"first_name": "VICTOR",
"middle_name": "DANIEL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00411700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0979201-01",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.