MRS. JESSICA D BORDERIEUX (NPI# 1407845654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407845654 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA D BORDERIEUX |
| Credential | PA C |
| Practice Address |
537 Stanton Christiana Rd Suite 207 Newark DE 19713-2146 |
| Practice Telephone | 3026337550 |
| Practice Fax Number | 3022253774 |
| Mailing Telephone | 3026337550 |
| Mailing Fax Number | 3022253774 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C50000622 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA052540 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9102515 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291743200 | 05 | |
| FL | 268544200 | 05 | |
| DE | DEA NUMBER | MB2100054 | 01 |
| Street Address |
537 STANTON CHRISTIANA RD SUITE 207 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012515 | Helen A. Mashek | Dermatology | 537 Stanton Christiana Rd, Suite # 207, Newark, DE 19713-2146 | 2005-06-13 |
| 1104270834 | Premier Dermatology | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-04-19 |
| 1730542424 | Chantel Priolo Mozal | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-03-31 |
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1376941443 | Veena Reddy | Dentist | 537 Stanton Christiana Rd, Suite 211, Newark, DE 19713-2146 | 2014-12-05 |
| 1104223007 | Sara Beth Abbo | Nurse Practitioner | 537 Stanton Christiana Rd, Suite 201, Newark, DE 19713-2146 | 2014-11-21 |
| 1518363563 | Tiffany Hill | Nurse Practitioner | 537 Stanton Christiana Rd, 203, Newark, DE 19713-2146 | 2014-11-18 |
| 1386056364 | Amy Wharry | Registered Nurse | 537 Stanton Christiana Rd, Suite 109, Newark, DE 19713-2146 | 2014-05-27 |
| 1417388711 | Naura Shah | Physician Assistant | 537 Stanton Christiana Rd, Newark, DE 19713-2146 | 2013-12-11 |
| 1245574250 | Gwen Hall Dalphon | Physician Assistant | 537 Stanton Christiana Rd, Suite 207, Newark, DE 19713-2146 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
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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.