MR. TODD M BORNFRIEND (NPI# 1891897591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891897591 |
| Entity Type | Individual |
| Full Name | MR. TODD M BORNFRIEND |
| Credential | PT |
| Practice Address |
660 Broadway Massapequa NY 11758-2391 |
| Mailing Address |
1728 Sunrise Hwy Merrick NY 11566-3745 |
| Practice Telephone | 5167302222 |
| Practice Fax Number | 5167302244 |
| Mailing Telephone | 5169224700 |
| Mailing Fax Number | 5165362621 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 014267-1 | NY | Other Service Providers |
| Street Address |
660 BROADWAY |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891724290 | Jonathan B Ticker | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2312 | 2006-06-30 |
| 1316447683 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2391 | 2018-02-13 |
| 1649407495 | Edward Brucia | Physician Assistant | 660 Broadway, Massapequa, NY 11758-2391 | 2009-06-19 |
| 1285823567 | Geoffrey B Pollock | Physician Assistant | 660 Broadway, Massapequa, NY 11758-2391 | 2007-10-23 |
| 1437236353 | Island Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2312 | 2006-11-01 |
| 1588776595 | Brian Musso | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-31 |
| 1245346378 | James J Egan | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1144336272 | Sandra J Ketcham | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1316053440 | Michael P Carroll | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1225144355 | Philip John Bruno | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969420 | Nicole Alexandra Valentine | Specialist | 36 Cedar Shore Dr, Massapequa, NY 11758-7317 | 2020-07-16 |
| 1548825854 | Nicolina Baldassarre | Specialist | 166 Hamilton Ave, Massapequa, NY 11758-3905 | 2019-05-02 |
| 1861950800 | Rachel A Shapiro | Specialist | 25 Euclid Ave, Massapequa, NY 11758-4407 | 2019-03-08 |
| 1417414541 | Dorothea J Thompson-white | Specialist | 16 Carman Blvd, Massapequa, NY 11758-6805 | 2019-02-25 |
| 1932670619 | Maria Villari | Specialist | 536 N Suffolk Ave, Massapequa, NY 11758-3243 | 2018-12-06 |
| 1326535659 | Courtney Bea Puricelli | Specialist | 48 Lagoon Blvd, Massapequa, NY 11758-8045 | 2018-04-23 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1801344833 | Gaetina Hodnett | Specialist | 500 Clocks Blvd, Massapequa, NY 11758-7708 | 2016-09-19 |
| 1669853529 | Christine Miller-dello Russo | Specialist | 100 Leewater Ave, Massapequa, NY 11758-8316 | 2015-06-16 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on MR. TODD M BORNFRIEND.
| 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.