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GREGORY WILLIAM BORDIUK D.P.M.
NPI 1679631659
Podiatrist in West Long Branch, NJ

Active since December 04, 2006
1000 BROADWAY, WEST LONG BRANCH, NJ 07764(732) 571-1366(732) 571-1366 Get Directions Write a Review

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

About Gregory William Bordiuk D.p.m. NPPES

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

GREGORY WILLIAM BORDIUK D.P.M. (NPI 1679631659) is an individual podiatrist in West Long Branch, New Jersey, licensed in New Jersey (25MD00147700) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679631659
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameGREGORY WILLIAM BORDIUKCredential: D.P.M.
Location Address1000 BROADWAYWest Long Branch, NJ 07764-1308
Mailing Address1000 BroadwayWest Long Branch, NJ 07764-1308 · (732) 571-1366 · Fax (732) 571-1366
Phone(732) 571-1366
Fax(732) 571-1366
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679631659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00147700
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1000 BROADWAY, West Long Branch, NJ 07764
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Other Identifiers 3

Medicaid1434004NJ
Medicare UPINT73074NJ
Medicare ID-Type Unspecified102618NJ

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 Gregory Bordiuk's NPI number?

The NPI number for Gregory Bordiuk is 1679631659. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Gregory Bordiuk located?

Gregory Bordiuk practices at 1000 Broadway, West Long Branch, NJ 07764. The listed phone number is (732) 571-1366.

What is Gregory Bordiuk's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Gregory Bordiuk 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.