JEFFERY DAVID BORUP (NPI# 1780726752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780726752 |
| Entity Type | Individual |
| Full Name | JEFFERY DAVID BORUP |
| Credential | 24720000X |
| Practice Address |
5614 Doughboy Loop Jb Mdl NJ 08640-5429 |
| Practice Telephone | 6097240008 |
| Practice Fax Number | 6097240232 |
| Mailing Telephone | 6097240008 |
| Mailing Fax Number | 6097240232 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5614 DOUGHBOY LOOP |
| City | JB MDL |
| State | NJ |
| Zip Code | 08640-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841428174 | Joseph Nunzio Coyle | Military Health Care Provider | 5651 Texas Ave., Fort Dix, NJ 08640 | 2009-06-25 |
| 1114128832 | Philadelphia Va Medical Center | Clinic/Center | 8th and Alabama St, Building 5437, Fort Dix, NJ 08640 | 2007-05-30 |
| 1467653501 | Scott J Winters | Registered Nurse | United States Army, Walson Army Hospital, Ft Dix, NJ 08640 | 2007-05-29 |
| 1700091147 | Kenneth Harry Schmidt | Pharmacist | 5756 Hartford Road, Fort Dix, NJ 08640 | 2007-05-11 |
| 1669692943 | Robert Antonio Cabanas | Dentist | 5755 Hartford Rd, Fci Fort Dix, Fort Dix, NJ 08640 | 2007-04-27 |
| 1063569556 | Erwin Hillard Goldrich | Dentist | 5660 Doughboy Ave, Fort Dix, NJ 08640 | 2007-01-05 |
| 1407918022 | James Richard Ross | Dentist | 5660 Doughboy Loop, Mills Dental Clinic, Fort Dix, NJ 08640 | 2006-12-14 |
| 1235212358 | John Joseph Sweeney IIi | Internal Medicine | Eighth and Alabama, Outpatient Clinic At Marshall Hall, Fort Stdix, NJ 08640 | 2006-10-23 |
| 1154421196 | Anthony Louis Capone | Social Worker | 8th Streeet Building 5437, Fort Dix, NJ 08640 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| Find all providers in zip 08640 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1104356823 | New Jersey Lice Treatment LLC | Technician, Other | 503 Birchfield Dr # 503a, Mount Laurel, NJ 08054-4009 | 2017-06-14 |
| 1538695010 | Josselyn Desoto | Technician, Other | 1800 Laurel Rd, Apt 1324, Lindenwold, NJ 08021-5401 | 2017-05-03 |
| 1578916987 | Lisa Circelli | Technician, Other | 1582 Brookside Rd, Mountainside, NJ 07092-1602 | 2016-07-20 |
| 1336505114 | Helms Medical Laboratory Services, LLC | Technician, Other | 71 N Jefferson St, Suite 1, Orange, NJ 07050-1632 | 2016-01-08 |
| 1144695875 | Dimitra Ann Armbrister-collins | Technician, Other | 554 South 10th St Apt3, Newark, NJ 07103 | 2015-12-07 |
| 1588078752 | Pheby Gafner | Technician, Other | 250 Merritt Ave, Bergenfield, NJ 07621-1417 | 2014-06-16 |
| 1306266556 | Reina Tejada | Technician, Other | 411 13th Street, Union City, NJ 07087-4203 | 2014-04-25 |
| 1811124407 | Ihor Nicholas Paluch | Technician, Other | 334 Harrison Ave, Hasbrouck Heights, NJ 07604-1606 | 2009-06-22 |
| 1700036100 | Ashlie Ann Lemunyon | Technician, Other | 342 S Chew Rd, Hammonton, NJ 08037-8442 | 2008-09-23 |
| Find all providers with the same taxonomy | ||||
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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.