Borukhov Radiology PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BORUKHOV RADIOLOGY PLLC

Practice address

13821 Queens Blvd
Briarwood, NY 11435-2641

Phone

(718) 480-1250

Fax

(718) 480-6720

NPI assigned

Jan 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David BorukhovNPI 1902105190

Title

MD

Phone

(718) 480-1250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Borukhov, MD

  • Diagnostic Radiology Physician
  • Manhasset, NY
  • NPI 1902105190

  NY

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1003389347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-480-1250",
            "fax_number": "718-480-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-480-1250",
            "fax_number": "718-480-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORUKHOV RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BORUKHOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-480-1250"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Pharma Inc
• Sangeeta Bhandari Ghimire
• Surjpattie Bhoodai, RN BSN
• Bishop Medical PC
• Michelle Bombacie, LAC
• Lyubov Borukhova, DDS
• Marie Rochelle Boursiquot, RN
• Briar Drug Store Inc
• Briar Drug Store Inc
• Briarwood Drugs Inc

• Radiology Clinic/Center in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.