MEDICARE: SIMONE NIMTZOVITCH BORGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37AC00935900	NJ

General Provider Information

NPI Number	:	1538008313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE NIMTZOVITCH BORGER

Provider Business Mailing Address
First Line	:	22 CITATION CT
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-3831
Country	:	US
Telephone Number	:	201-637-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 RADAR WAY
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-1290
Country	:	US
Telephone Number	:	732-389-0697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ SIMONE NIMTZOVITCH BORGER ” Practice Location

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