NPIMap

Organization Active NPI

Bukhman MD PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1013025782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216805 Issued in NU
Legal business name
BUKHMAN MD PC
Practice address
208 E 116TH St
New York, NY 10029-1401
Phone
(917) 593-1101
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leonid Bukhman, MDNPI 1144334699
Title
President
Phone
(917) 593-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216805 NU Primary

Addresses

Primary practice location

208 E 116TH St
New York, NY 10029-1401

Mailing address

50 Lexington Ave
Ste 21H
New York, NY 10010-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061226000107 NY Part B Supplier - Clinic/Group Practice 2961402946 Receives reassigned benefits from 18 practitioners
Practice locations: Brooklyn, NY; Jamaica, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

575 W 161st St
Ste 1A
New York, NY 10032
Phone (646) 833-7559

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013025782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEXINGTON AVE",
            "address_2": "STE 21H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291401",
            "telephone_number": "917-593-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUKHMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUKHMAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-593-1101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": "216805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.