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EDWARD B BORDEN M.D.
NPI 1316966245
Surgery in Port Jefferson, NY

Active since July 19, 2006
625 BELLE TERRE RD STE 201, PORT JEFFERSON, NY 11777(631) 474-0707(631) 474-4034 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward B Borden M.d. NPPES

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

EDWARD B BORDEN M.D. (NPI 1316966245) is an individual surgery provider in Port Jefferson, New York, licensed in New York (133133) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1316966245
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEDWARD B BORDENCredential: M.D.
Location Address625 BELLE TERRE RD STE 201Port Jefferson, NY 11777-2318
Mailing Address333 Route 25aRocky Point, NY 11778-8556 · (631) 474-0707 · Fax (631) 474-4034
Phone(631) 474-0707
Fax(631) 474-4034
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 20, 2014
✔ NPI 1316966245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 133133
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
625 BELLE TERRE RD STE 201, Port Jefferson, NY 11777
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Other Identifiers 3

Medicare UPINB79086NY
Medicare ID-Type Unspecified72A241NY
Medicaid00718209NY

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 Edward Borden's NPI number?

The NPI number for Edward Borden is 1316966245. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Edward Borden located?

Edward Borden practices at 625 Belle Terre Rd Ste 201, Port Jefferson, NY 11777. The listed phone number is (631) 474-0707.

What is Edward Borden's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Edward Borden was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.