VICKI BORUTA
NPI 1124120126
Physician Assistant - Medical in Willow Grove, PA

Active since September 01, 2006
2701 BLAIR MILL RD, SUITE 8, WILLOW GROVE, PA 19090(215) 957-9250(215) 957-9254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicki Boruta NPPES

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

VICKI BORUTA (NPI 1124120126) is an individual medical provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MA000872-L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1124120126
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVICKI BORUTA
Location Address2701 BLAIR MILL RD, SUITE 8Willow Grove, PA 19090-1041
Mailing Address2701 Blair Mill Rd, Suite 8Willow Grove, PA 19090-1041 · (215) 957-9250 · Fax (215) 957-9254
Fax(215) 957-9254
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124120126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA000872-L
2701 BLAIR MILL RD, Willow Grove, PA 19090

Other Identifiers 1

Medicare UPIN30702

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.

Obstetrics & Gynecology (Gynecology)
2701 BLAIR MILL RD, SUITE C
WILLOW GROVE, PA 19090
Nurse Anesthetist, Certified Registered
2701 BLAIR MILL RD, SUITE 35
WILLOW GROVE, PA 19090
Family Medicine
2701 BLAIR MILL RD, STE 20
WILLOW GROVE, PA 19090
Family Medicine
2701 BLAIR MILL RD, SUITE 20
WILLOW GROVE, PA 19090
Family Medicine
2701 BLAIR MILL RD, SUITE 20
WILLOW GROVE, PA 19090
Nurse Practitioner (Pediatrics)
2701 BLAIR MILL RD, SUITE 10
WILLOW GROVE, PA 19090
Clinic/Center (Ambulatory Surgical)
2701 BLAIR MILL RD, STE. 30
WILLOW GROVE, PA 19090
Obstetrics & Gynecology
2701 BLAIR MILL RD, SUITE C
WILLOW GROVE, PA 19090

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 Vicki Boruta's NPI number?

The NPI number for Vicki Boruta is 1124120126. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Vicki Boruta located?

Vicki Boruta practices at 2701 Blair Mill Rd Suite 8, Willow Grove, PA 19090. The listed phone number is (215) 957-9250.

What is Vicki Boruta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Vicki Boruta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.