Healthcare Provider Details

I. General information

NPI: 1801503719
Provider Name (Legal Business Name): ALIXANDRA VICTORIA BORST CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 ROUTE 23 STE 202
POMPTON PLAINS NJ
07444-1025
US

IV. Provider business mailing address

368 SCHOLAR CT
FRANKLIN LAKES NJ
07417-1000
US

V. Phone/Fax

Practice location:
  • Phone: 862-203-3875
  • Fax:
Mailing address:
  • Phone: 845-544-6027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ15009400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00080601
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: