CUSTODIO RICACHO BORGUETA (NPI# 1245200831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245200831 |
| Entity Type | Individual |
| Full Name | CUSTODIO RICACHO BORGUETA |
| Credential | M.D. |
| Practice Address |
9 Hudson Valley Professional Plz Newburgh NY 12550-3150 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8455610990 |
| Practice Fax Number | 8455621439 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 154989 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00783028 | 05 |
| Street Address |
9 HUDSON VALLEY PROFESSIONAL PLZ |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780655084 | Byung Rak Chung | Obstetrics & Gynecology | 9 Hudson Valley Professional Plz, Newburgh, NY 12550-3150 | 2006-01-27 |
| 1821069139 | Morris Jay Wexler | Obstetrics & Gynecology | 9 Hudson Valley Professional Plz, Newburgh, NY 12550-3150 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237896 | Carrye Lynn Daum | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2400, Newburgh, IN 47630-7972 | 2013-07-08 |
| 1669514253 | Jill Marie Mattern | Obstetrics & Gynecology | 3 Washington Center, Newburgh, NY 12550 | 2007-02-12 |
| 1144372566 | Womens Medical Care of Hudson Valley PC | Obstetrics & Gynecology | 9 Hudson Valley Professional Plaza, Newburgh, NY 12550-3150 | 2007-01-17 |
| 1043384498 | Basinski LLC | Obstetrics & Gynecology | 3922 Venetian Way, Suite 1, Newburgh, IN 47630-7958 | 2006-11-20 |
| 1326134396 | Paul W Morrison, Md, LLC | Obstetrics & Gynecology | 4727 Rosebud Ln, Ste D, Newburgh, IN 47630-9367 | 2006-10-05 |
| 1689628422 | Paul William Morrison | Obstetrics & Gynecology | 4727 Rosebud Lane, Suite D, Newburgh, IN 47630-9367 | 2006-05-19 |
| 1376527200 | John Michael Reid | Obstetrics & Gynecology | 4727 Rosebud Ln Ste D, Newburgh, IN 47630-9367 | 2005-12-05 |
| 1952301681 | Gbolagade O Babalola | Obstetrics & Gynecology | 147 Lake St, Newburgh, NY 12550-5263 | 2005-07-22 |
| 1457354938 | Frank L. Hilton | Obstetrics & Gynecology | 4199 Gateway Blvd, Ste 2400, Newburgh, IN 47630-8967 | 2005-05-27 |
| 1467807941 | Neha Sood | Obstetrics & Gynecology | 147 Lake Street, Newburgh, NY 12550 | 2016-05-03 |
| Find all providers in NEWBURGH | ||||
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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.