NATHAN BORRERO MD
NPI 1104405240
Family Medicine in Middletown, NJ
About Nathan Borrero Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN BORRERO MD (NPI 1104405240) is an individual family medicine provider in Middletown, New Jersey, licensed in New Jersey (25MA12210300) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Albany Medical College Of Union University (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathan Borrero Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nathan Borrero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shrewsbury, NJ 07702
- Reassigned Medicare billing, New Jersey enrollment
- 63 clinicians in this Medicare group
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 428 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJBayshore Medical Center
Acute Care Hospitals · Holmdel, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Borrero's NPI number?
The NPI number for Nathan Borrero is 1104405240. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Nathan Borrero located?
Nathan Borrero practices at 18 Leonardville Rd, Middletown, NJ 07748. The listed phone number is (732) 671-0860.
What is Nathan Borrero's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nathan Borrero enrolled in Medicare?
Yes. Nathan Borrero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nathan Borrero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Borrero reassigns Medicare benefits to 2 organizations: Integrated Medicine Alliance PA (Shrewsbury, NJ) and Rwjbh Primary Care Services (West Orange, 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 Nathan Borrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Borrero accept?
Health plans from Oscar Health list Nathan Borrero 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.
Is Nathan Borrero affiliated with any hospitals?
According to CMS data, Nathan Borrero is affiliated with Riverview Medical Center, Monmouth Medical Center and Bayshore Medical Center.
When was this NPI record last updated?
The NPPES record for Nathan Borrero was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nathan Borrero, MD · NPI 1104405240
Family Medicine physician in Middletown, New Jersey. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1104405240 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA12210300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 LEONARDVILLE RD, Middletown, NJ 07748-2311
- **Phone:** (732) 671-0860 · **Fax:** (732) 671-6467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Integrated Medicine Alliance PA (NPI 1649252776, Shrewsbury, NJ); Rwjbh Primary Care Services (NPI 1265037501, West Orange, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2021
## Record status
- **NPPES last updated:** October 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104405240) · Data from the CMS NPPES public registry.