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JACOB PATRICK BORKOWSKI
NPI 1295316503
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Active since April 19, 2021PECOS Enrolled
166 HANOVER ST STE 200, WILKES BARRE, PA 18702(570) 808-5674 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Patrick Borkowski NPPES

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

JACOB PATRICK BORKOWSKI (NPI 1295316503) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295316503
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PATRICK BORKOWSKI
Location Address166 HANOVER ST STE 200Wilkes Barre, PA 18702-3544
Mailing Address7508 171st StFresh Meadows, NY 11366-1417 · (917) 477-9530
Phone(570) 808-5674
Sole ProprietorYes
Enumeration DateApril 19, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1295316503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
166 HANOVER ST STE 200, Wilkes Barre, PA 18702
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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 (PECOS)

Jacob Patrick Borkowski 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.

Other Providers at the Same Location NPPES 13

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

AYESHA SHAH
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
MIA TERRANA DO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
BRIAN WILLIAM BEDWICK PHARMD
Pharmacist (Ambulatory Care)
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 849-7582
AMANJOT SINGH ARORA DO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (908) 839-0377
JIAZENG GE
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
DR. CHRISTOPHER HSU MD
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
SHANNON COYNE DO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
THOMAS JOSEPH BROUSE MD
Family Medicine
166 HANOVER ST STE 200
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674

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 Jacob Borkowski's NPI number?

The NPI number for Jacob Borkowski is 1295316503. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Jacob Borkowski located?

Jacob Borkowski practices at 166 Hanover St Ste 200, Wilkes Barre, PA 18702. The listed phone number is (570) 808-5674.

What is Jacob Borkowski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Borkowski enrolled in Medicare?

Yes. Jacob Borkowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Borkowski was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.