NPIMap

Individual provider Active NPI

Cheryl B Burack, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1013977123
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202279 Issued in NY
Practice address
62 Hackett Blvd
Albany, NY 12209-1718
Phone
(518) 465-7062
Fax
(518) 449-1378
NPI assigned
Mar 23, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 202279 NY Primary

Addresses

Primary practice location

62 Hackett Blvd
Albany, NY 12209-1718

Mailing address

62 Hackett Blvd
Albany, NY 12209-1718
Phone (518) 465-7062

Other identifiers 1

IdentifierTypeStateIssuer
01642093MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825001019 NY Practitioner - Obstetrics/Gynecology 3577642412 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee and Burack OB GYN PCGroup PAC ID 9931164845, 5 clinicians

Practice addresses (Care Compare)

62 Hackett Blvd
Albany, NY 12209-1756
Phone (518) 465-3318

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
W Bruce Clark MD PC Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Humera S Syeda MDPC Obstetrics & Gynecology CurrentSince Jan 6, 2025 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Mar 4, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Mar 4, 2024 Accepting new patients
New York Nephrology and Dialysis Access Surgery, P.C. CurrentSince Mar 1, 1996 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Mar 4, 2024 Accepting new patients
Robert H Dropkin MD Laura a Costello MD OB-GYN LLP Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
McGinnis Womens Medical Care, PC Obstetrics & Gynecology PastSince Jan 6, 2025 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

107 Everett Rd
#A
Albany, NY 12205
Phone (518) 808-4924

107 Everett Rd
Ste A
Albany, NY 12205

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

400 Patroon Creek Blvd
Ste 100
Albany, NY 12206
Phone (518) 445-4444

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

585 New Loudon Rd
Latham, NY 12110
Phone (518) 783-1472

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: cburack22909@albanymed.direct-ci.com
  • Direct secure messaging: cburack788135@direct.trinity-health.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1013977123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091718",
            "telephone_number": "518-465-7062",
            "fax_number": "518-449-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091718",
            "telephone_number": "518-465-7062",
            "fax_number": "518-449-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURACK",
        "first_name": "CHERYL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "202279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01642093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.