NATHAN BORRERO (MD) – Family Medicine Physician, NPI 1104405240

NATHAN BORRERO (MD) is a healthcare provider. based in Red bank, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 25MA12210300 (NJ). The NPI Number for NATHAN BORRERO (MD) is 1104405240

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN BORRERO (MD)
NPI
1104405240
Phone
(732) 460-9840
Address
PO BOX 8519
Enumeration Date
6 April 2021
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
7324609840
Graduation Year
2021 (5 years ago)
PAC ID
6800299645
Group Practice PAC ID
2668468919
Professional Enrollment ID
I20241104000322
Address ID
NJ077024380SH1026XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

Provider Addresses for NATHAN BORRERO (MD)

  • PO BOX 8519

    RED BANK, NJ 077018519

    Phone: (732) 460-9840

    Fax: (732) 460-9848

    Type: Mailing

  • 18 LEONARDVILLE RD

    MIDDLETOWN, NJ 077482311

    Phone: (732) 671-0860

    Fax: (732) 671-6467

    Type: Location

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241104000322IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668468919View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyNJ
Family PracticeNJ
Internal MedicineNJ
-NJ
Qualified AudiologistNJ
Physician AssistantNJ
-NJ
Physician AssistantNJ
Internal MedicineNJ
Nurse PractitionerNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference NATHAN BORRERO (MD)?
For NATHAN BORRERO (MD), use NPI 1104405240 as the unique 10-digit identifier.
Is NATHAN BORRERO (MD) still an active registrant?
NATHAN BORRERO (MD) carries an active NPI according to the public dataset.
What area of care is associated with NATHAN BORRERO (MD)?
NATHAN BORRERO (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NATHAN BORRERO (MD) associated with Red Bank?
Public fields place NATHAN BORRERO (MD) around Red Bank, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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