Healthcare Provider Details

I. General information

NPI: 1699604413
Provider Name (Legal Business Name): DEBRA BORG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 EVERGREEN RD
EDISON NJ
08837-2491
US

IV. Provider business mailing address

132 EVERGREEN RD
EDISON NJ
08837-2491
US

V. Phone/Fax

Practice location:
  • Phone: 732-452-4100
  • Fax:
Mailing address:
  • Phone: 732-452-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number26NR14718800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: