Individual provider Active NPI

Jonathan Medina Borja, PA-C

  • Physician Assistant
  • Edison, NJ
National Provider Identifier
1972026805
Registry record updated Jul 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00441600 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(732) 321-7000
NPI assigned
Jul 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00441600 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

51 Harrington Dr S
Toms River, NJ 08757-4008
Phone (732) 618-2300

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110002832 NJ Practitioner - Physician Assistant 2062778871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Plainsboro, NJ 08536-2192
Phone (862) 263-4048

100 Mazdabrook Rd
Parsippany, NJ 07054-3304
Phone (973) 952-5300

1000 Windrow Dr
Atrium Senior Living of Princeton
Princeton, NJ 08540-5007
Phone (609) 514-9111

11 History LN
Jackson, NJ 08527-2209
Phone (732) 367-6600

155 Raymond Rd
Princeton, NJ 08540-9608
Phone (732) 329-8888

1645 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3821
Phone (973) 443-0444

1660 Whitehorse Hamilton Square Rd
Careone at Hamilton
Hamilton, NJ 08690-3506
Phone (609) 586-4600

255 E Main St
Moorestown, NJ 08057-2982
Phone (856) 235-1214

2560 Kuser Rd
Hamilton, NJ 08691-3480
Phone (609) 438-9900

870 Route 70 E
Careone at Evesham
Marlton, NJ 08053-5566
Phone (856) 396-0005

874 Route 70 E
Careone at Evesham Assisted Living
Marlton, NJ 08053-5566
Phone (856) 396-0005

93 Manalapan Ave
Freehold, NJ 07728-1626
Phone (732) 333-3011

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00441600NJMDPhysician Assistant

Organizations & group practices 2

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500768000000",
    "number": "1972026805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HARRINGTON DR S",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087574008",
            "telephone_number": "732-618-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "JONATHAN",
        "middle_name": "MEDINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00441600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.