MARCO ANTONIO TADEO BERMUDEZ BORJAS MD
NPI 1730810227
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marco Antonio Tadeo Bermudez Borjas Md NPPES

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

MARCO ANTONIO TADEO BERMUDEZ BORJAS MD (NPI 1730810227) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730810227
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARCO ANTONIO TADEO BERMUDEZ BORJASCredential: MD
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address4422 3rd AveBronx, NY 10457-2545
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2022
Last NPPES UpdateJuly 12, 2025
NPPES CertifiedJuly 12, 2025
NPI 1730810227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4422 3RD AVE, Bronx, NY 10457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marco Antonio Tadeo Bermudez Borjas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163935719
PECOS Enrollment IDI20250627002042
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

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.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Marco Bermudez Borjas's NPI number?

The NPI number for Marco Bermudez Borjas is 1730810227. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Marco Bermudez Borjas located?

Marco Bermudez Borjas practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Marco Bermudez Borjas's specialty?

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

Is Marco Bermudez Borjas enrolled in Medicare?

Yes. Marco Bermudez Borjas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marco Bermudez Borjas affiliated with any hospitals?

According to CMS data, Marco Bermudez Borjas is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Marco Bermudez Borjas was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.