ORESTA VICTORIA BORODEVYC PA-C
NPI 1740813856
Physician Assistant - Medical in Bronx, NY

Q: What is Oresta Borodevyc's NPI number?

The NPI number for Oresta Borodevyc is 1740813856. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Oresta Borodevyc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Oresta Borodevyc was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment

1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Aug 21, 2020, Feb 17, 2020 (3 updates tracked since 2020).

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About Oresta Victoria Borodevyc Pa-c NPPES

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

ORESTA VICTORIA BORODEVYC PA-C (NPI 1740813856) is an individual medical provider in Bronx, New York, licensed in New York (025091) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740813856

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameORESTA VICTORIA BORODEVYCCredential: PA-C

Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417

Mailing Address8336 Walker StPhiladelphia, PA 19136-2803 · (215) 756-2993

Phone(718) 589-2440

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 17, 2020

Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1740813856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 025091

1065 SOUTHERN BLVD, Bronx, NY 10459

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Secondary Practice Locations 2

Location 1156 William St Rm 303New York, NY 10038-5307 · Phone (212) 769-4200

Location 21991 Marcus Ave Ste 102New Hyde Park, NY 11042-2062 · Phone (516) 719-7900

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

Oresta Victoria Borodevyc Pa-c 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 ID9133543184

PECOS Enrollment IDI20220218000848

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.

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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.

SARAH VANEGAS

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