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DR. VINCENT BORJA MD
NPI 1003443326
Pediatrics in Edison, NJ

Active since March 25, 2020PECOS Enrolled
225 MAY ST STE A, EDISON, NJ 08837(732) 549-7364(732) 745-6017 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Nov 7, 2024, Jun 5, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Vincent Borja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT BORJA MD (NPI 1003443326) is an individual pediatrics provider in Edison, New Jersey, licensed in New Jersey (25MA12178100) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1003443326
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. VINCENT BORJACredential: MD
Location Address225 MAY ST STE AEdison, NJ 08837-3266
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Phone(732) 549-7364
Fax(732) 745-6017
Sole ProprietorYes
Enumeration DateMarch 25, 2020
Last NPPES UpdateApril 15, 20265 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1003443326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA12178100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
225 MAY ST STE A, Edison, NJ 08837
Open in Google Maps ↗

Secondary Practice Location 1

Location 1254 Easton AveNew Brunswick, NJ 08901-1766 · Phone (732) 745-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vincent Borja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Vincent Borja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Primary Care PC
18 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
18 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER ITSKOVICH M.D.
Surgery
225 MAY ST STE A
EDISON, NJ 08837
Middlesex County (732) 346-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Borja's NPI number?

The NPI number for Vincent Borja is 1003443326. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Vincent Borja located?

Vincent Borja practices at 225 May St Ste A, Edison, NJ 08837. The listed phone number is (732) 549-7364.

What is Vincent Borja's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vincent Borja enrolled in Medicare?

Yes. Vincent Borja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vincent Borja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Borja reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vincent Borja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Borja accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Vincent Borja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent Borja was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.