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Deactivated NPI 1063521920 Deactivated / Inactive NPI Female Practitioner

Elyse Borsuk , APRN

Nurse Practitioner - Pediatrics • Orange, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elyse Borsuk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date June 01, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Elyse Borsuk, APRN was a registered Nurse Practitioner - Pediatrics practicing in Orange, CT. Throughout an active medical career spanning 18 years, Elyse Borsuk provided care at the practice location at 240 INDIAN RIVER RD until profile deactivation on 2024-06-01.

Practice Location & Contact Primary Location

Practice Address

240 Indian River Rd
Suite B-1

Orange, CT 064773649

Telephone 2037954924
Fax 2037991554
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Orange, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Orange, CT (426 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License CT 000272

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1588773691

Doctor of Medicine (M.D.)

NPI 1649681164

Doctor of Medicine (M.D.)

NPI 1679866115

Doctor of Medicine (M.D.)

NPI 1760591515

Doctor of Medicine (M.D.)

Cindy Wechsler , APRN

Nurse Practitioner - Pediatrics

NPI 1770692790

Advanced Practice Registered Nurse

NPI 1801905070

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 01, 2024

Record deactivated on June 01, 2024

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2011

Registered at 240 INDIAN RIVER RD, SUITE B-1, ORANGE, CT 064773649 (Tel: 2037954924)

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Updated Business Mailing Address October 19, 2011

Registered at 240 INDIAN RIVER RD, SUITE B-1, ORANGE, CT 064773649 (Tel: 2037954924)

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Provider Name / Credentials Updated October 19, 2011

Recorded as ELYSE BORSUK, APRN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Nurse Practitioner (License #000272 in CT)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063521920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: October 19, 2011
Deactivation Date: June 01, 2024

Mailing Address

240 Indian River Rd, Suite B-1

Orange, CT 064773649

Phone: 2037954924

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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