ELYSE BORSUK (NPI# 1063521920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521920 |
| Entity Type | Individual |
| Full Name | ELYSE BORSUK |
| Credential | APRN |
| Practice Address |
240 Indian River Rd Suite B-1 Orange CT 06477-3649 |
| Practice Telephone | 2037954924 |
| Practice Fax Number | 2037991554 |
| Mailing Telephone | 2037954924 |
| Mailing Fax Number | 2037991554 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000272 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004157419 | 05 |
| Street Address |
240 INDIAN RIVER RD SUITE B-1 |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600381 | Jeffrey Reynolds | Internal Medicine | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
| 1578190369 | Patrick Risko | Hearing Instrument Specialist | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-03-24 |
| 1922648641 | Julia Ellen Muldoon | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-01-10 |
| 1457998502 | Ifeyinwa Leonard | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2019-12-09 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1124543632 | Jillian Marie Reid | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2017-08-04 |
| 1588022461 | Katherine Sullivan | Physical Therapist | 240 Indian River Rd, Suite A8, Orange, CT 06477-3649 | 2016-02-05 |
| 1083022339 | Weverton Depaula | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1023426285 | Dr. Rocio Alicea O.d., LLC | Optometrist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1548670094 | Veo Vision Center, LLC | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610375 | Jessica Latorre | Nurse Practitioner | 431 S Batavia St Ste 203, Orange, CA 92868-3939 | 2019-07-11 |
| 1750621728 | Aliza Riba | Nurse Practitioner | 1201 West La Veta Avenue, Children's Hospital of Orange County, Orange, CA 92868-3874 | 2013-02-27 |
| 1578799672 | Joyce Hellen Kim | Nurse Practitioner | 805 West Laveta, Suite 103, Orange, CA 92868 | 2009-06-03 |
| 1659582047 | Rebecca B. Kilpatrick | Nurse Practitioner | 725 W La Veta Ave Ste 220, Orange, CA 92868-4446 | 2007-05-25 |
| 1972677409 | Lesa Jeanene Grovas | Nurse Practitioner | Choc Children's Hospital of Orange, 1201 W. Le Veta Avenue, Orange, CA 92868 | 2006-11-17 |
| 1033191473 | Nancy Ann Varni | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2005-11-18 |
| 1225641418 | Jonathan Chodosh Strok | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-26 |
| 1881206779 | Emma Lind | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1679108369 | Rebecca Sponberg | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-03-03 |
| 1477100733 | Lauren Remley | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2019-08-21 |
| Find all providers in ORANGE | ||||
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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.