Provider Demographics
NPI:1679570725
Name:BORBELY, STEPHAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:
Last Name:BORBELY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 MOLNAR DRIVE SUITE 203
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2038
Mailing Address - Country:US
Mailing Address - Phone:201-703-3330
Mailing Address - Fax:201-703-3332
Practice Address - Street 1:241 MOLNAR DRIVE SUITE 203
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2038
Practice Address - Country:US
Practice Address - Phone:201-703-3330
Practice Address - Fax:201-703-3332
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00219000213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0954280021OtherMETHEALTH
F10891OtherHEALTH NET/PHS
73066OtherFIRST HEALTH
0954280001OtherHEALTHNOW
P55911OtherEMPIRE
62359470OtherMULTIPLAN
010000343-00OtherMHS
0682551000OtherAMERIHEALTH
4140190OtherAMELPLCF
03000219NJ01OtherANTHEM HEALTH
33652OtherUNIVERSITY HEALTH
480019732OtherPALMETTOGBA (RR)
BS717OtherOXFORD
J021212OtherCHAMPUS
03000219NJ01OtherANTHEM HEALTH