MEDICARE: ALIXANDRA VICTORIA BORST CNM

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	363LW0102X	Women's Health Nurse Practitioner	26NJ15009400	NJ
2	367A00000X	Advanced Practice Midwife	25ME00080601	NJ

General Provider Information

NPI Number	:	1801503719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIXANDRA VICTORIA BORST CNM

Provider Business Mailing Address
First Line	:	368 SCHOLAR CT
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-1000
Country	:	US
Telephone Number	:	845-544-6027
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 ROUTE 23 STE 202
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1025
Country	:	US
Telephone Number	:	862-203-3875
Fax Number	:

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

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	06/20/2026

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