DR. LISA BORG M.D.
NPI 1649316019
Psychiatry & Neurology - Addiction Psychiatry in New York, NY

Active since January 30, 2007Opted out of Medicare · through Sep 11, 2026
ROCKEFELLER UNIVERSITY KREEK LAB, 1230 YORK AVE, NEW YORK, NY 10021(212) 327-8282(212) 327-7023 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Borg M.d. NPPES

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

DR. LISA BORG M.D. (NPI 1649316019) is an individual addiction psychiatry provider in New York, New York, licensed in New York (1568751) and active in the NPI registry since January 2007. She has opted out of Medicare through September 11, 2026 and maintains a secondary practice location in Kew Gardens.

NPPES Registry Identity

NPI1649316019
Entity TypeIndividualFemale
Primary Taxonomy2084P0802X
Provider Legal NameDR. LISA BORGCredential: M.D.
Location AddressROCKEFELLER UNIVERSITY KREEK LAB, 1230 YORK AVENew York, NY 10021
Mailing AddressRockefeller University Kreek Lab, 1230 York AveNew York, NY 10021 · (212) 327-8282 · Fax (212) 327-7023
Fax(212) 327-7023
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
NPI 1649316019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License Licensed in NY · 1568751
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
ROCKEFELLER UNIVERSITY KREEK LAB, New York, NY 10021

Other Names 1

Other Name (5)Dr. Lisa Borg M.d.

Secondary Practice Location 1

Location 18002 Kew Gardens Rd Ste 704Kew Gardens, NY 11415-3607 · Phone (718) 520-1513

Other Identifiers 1

Medicaid01420795NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lisa Borg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2020 through September 11, 2026.

Opt-Out Effective DateSeptember 11, 2020
Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Lisa Borg's NPI number?

The NPI number for Lisa Borg is 1649316019. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Dr. Lisa Borg M.D..

Where is Lisa Borg located?

Lisa Borg practices at Rockefeller University Kreek Lab 1230 York Ave, New York, NY 10021. The listed phone number is (212) 327-8282.

What is Lisa Borg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Lisa Borg enrolled in Medicare?

No. Lisa Borg has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Borg was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.