DR. SONIA V BORKER D.O., M.S.
NPI 1053748236
Family Medicine in Jersey City, NJ

Q: What is Sonia Borker's NPI number?

The NPI number for Sonia Borker is 1053748236. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Q: What is Sonia Borker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sonia Borker was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

176 PALISADE AVE, JERSEY CITY, NJ 07306(201) 795-8201(201) 795-8278 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Jul 15, 2016 (2 updates tracked since 2016).

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About Dr. Sonia V Borker D.o., M.s. NPPES

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

DR. SONIA V BORKER D.O., M.S. (NPI 1053748236) is an individual family medicine provider in Jersey City, New Jersey, licensed in New Jersey (25MB09780800) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1053748236

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SONIA V BORKERCredential: D.O., M.S.

Location Address176 PALISADE AVEJersey City, NJ 07306-1121

Mailing Address176 Palisade AveJersey City, NJ 07306-1121

Phone(201) 795-8201

Fax(201) 795-8278

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013

Enumeration DateOctober 2, 2013

Last NPPES UpdateSeptember 1, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1053748236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MB09780800

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 25MB09780800 (NJ)

176 PALISADE AVE, Jersey City, NJ 07306

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonia V Borker D.o., M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436443306

PECOS Enrollment IDI20230918001736

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

556 services256 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

175 services98 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

128 services126 patients

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235

This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.

58 services58 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330162

Location400 East Main StreetMount Kisco, NY 10549 · Westchester County

Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330261

Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%87 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$60.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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