NASSER E BORAI MD LLC (NPI# 1518147370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518147370 |
| Entity Type | Organization |
| Organization Name | NASSER E BORAI MD LLC |
| Other Organization Name | NASSER E. BORAI, MD |
| Practice Address |
54 W Jimmie Leeds Rd Suites 11 & 12 Galloway NJ 08205-9401 |
| Practice Telephone | 6094049966 |
| Practice Fax Number | 6094049967 |
| Mailing Telephone | 6094049966 |
| Mailing Fax Number | 6094049967 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | DR. NASSER E BORAI (OWNER) |
| Authorized Official Telephone | 6094049966 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25MA05533500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6552200 | 05 | |
| HEALTHNOW NY/DMERC A | 5178380001 | 01 | |
| PALMETTO GBA/RR MEDICARE | 830007154 | 01 |
| Other Name | Type Code |
|---|---|
| NASSER E. BORAI, MD | Former Legal Business Name - Organization |
| Street Address |
54 W JIMMIE LEEDS RD SUITES 11 & 12 |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031681 | Nasser Eldien Borai | Internal Medicine | 54 W Jimmie Leeds Rd, Suites 11 & 12, Galloway, NJ 08205-9401 | 2005-11-22 |
| 1922647452 | Sherry Lynn Pharo | Nurse Practitioner | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2020-01-01 |
| 1043700495 | Atlanticare Health Services Inc. | Clinic/Center | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2018-05-11 |
| 1538513262 | Moomal Memon | Internal Medicine | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2016-04-19 |
| 1982010468 | Heart Health Center | Clinic/Center | 54 W Jimmie Leeds Rd, Suite # 14, Galloway, NJ 08205-9438 | 2014-07-07 |
| 1003249087 | Atlantic Oncology Associates, LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2013-08-14 |
| 1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
| 1043597859 | Brigita Ann Kelsey | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-08 |
| 1518244680 | Anthony F Graziano | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-03 |
| 1952680100 | Shore Oral and Maxillofacial Surgery, LLC | Dentist | 54 W Jimmie Leeds Rd, Suite 6, Galloway, NJ 08205-9438 | 2011-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031681 | Nasser Eldien Borai | Internal Medicine | 54 W Jimmie Leeds Rd, Suites 11 & 12, Galloway, NJ 08205-9401 | 2005-11-22 |
| 1003249087 | Atlantic Oncology Associates, LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2013-08-14 |
| 1508152950 | Atlantic Regional Cancer Center, LLC | Internal Medicine | 4 E Jimmie Leeds Rd, Suite 4, Galloway, NJ 08205-4465 | 2011-06-23 |
| 1851420707 | Atlantic Hematology Oncology Group | Internal Medicine | 4 E Jimmie Leeds Rd, Suite 4, Galloway, NJ 08205-4465 | 2007-03-05 |
| 1942257787 | Rajasree Ajay | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976948 | Regional Cancer Care Associates LLC | Internal Medicine | 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 | 2020-03-04 |
| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
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| 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.