MARIE JOY GUNDRAN BORDEOS (NPI# 1407331200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407331200 |
| Entity Type | Individual |
| Full Name | MARIE JOY GUNDRAN BORDEOS |
| Credential | NP |
| Practice Address |
8610 Roosevelt Ave Ste 2 Jackson Heights NY 11372-7500 |
| Mailing Address |
8610 Roosevelt Ave Jackson Heights NY 11372-7503 |
| Practice Telephone | 7185656880 |
| Mailing Telephone | 7185656880 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343535 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8610 ROOSEVELT AVE STE 2 |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1760016687 | Ken Pongthorn Wanitchinda | Nurse Practitioner | 3720 87th St Apt 3b, Jackson Heights, NY 11372-7501 | 2020-02-29 |
| 1750878450 | Jasvir Kaur | Nurse Practitioner | 34-29 83rd Street, Jackson Heights, NY 11372 | 2018-04-18 |
| 1457889933 | Sophia Mesfin | Nurse Practitioner | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2017-05-30 |
| 1750791992 | Shiny Easo | Nurse Practitioner | 3435 70th St, Jackson Heights, NY 11372-1055 | 2014-04-28 |
| 1063758860 | Anjali Patel | Nurse Practitioner | 34-29 83rd Street, Jackson Heights, NY 11372 | 2012-12-26 |
| 1881940534 | Hosne Fahmida Ahmed | Nurse Practitioner | 70-17 37th Avenue, Jackson Heights, NY 11372 | 2012-07-31 |
| 1811261605 | Erica L. Edmund | Nurse Practitioner | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2012-02-27 |
| 1871807180 | Elisa Alleyne | Nurse Practitioner | 34-29 83rd Street, Jackson Heights, NY 11372 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
Please comment or provide details below to improve the information on MARIE JOY GUNDRAN BORDEOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.