Individual provider Active NPI

Reuben David Burshtein, D.O.

  • Neurology Physician
  • Smithtown, NY
National Provider Identifier
1033458526
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
281962 Issued in NY
Practice address
45 Terry Rd
Ste a
Smithtown, NY 11787-3894
Phone
(631) 265-4485
Fax
(631) 265-3620
NPI assigned
Feb 5, 2013
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 281962 NY Primary

Addresses

Primary practice location

45 Terry Rd
Ste a
Smithtown, NY 11787-3894

Mailing address

245 Old Country Rd
Melville, NY 11747-2726

Other identifiers 1

IdentifierTypeStateIssuer
04501795MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824001115 NY Practitioner - Neurology 4183919558 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

45 Terry Rd
Suite a
Smithtown, NY 11787-3894
Phone (631) 265-4485

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281962NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Apr 6, 2017 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Nov 1, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2017 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Jul 1, 2016 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2017 Accepting new patients
CHS Physician Partners, PC CurrentSince Apr 6, 2017 Accepting new patients
SRB Medical PLLC Neurology CurrentSince Jul 1, 2022 Accepting new patients

Locations

10 Hastings Dr
Beacon, NY 12508
Phone (845) 440-1600

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Ste 1001
Rhinebeck, NY 12572
Phone (845) 876-4432

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

45 Terry Rd
Ste A
Smithtown, NY 11787
Phone (631) 265-4485

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rburshtein106033@direct-chsli.net

Organizations & group practices 8

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 2

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1033458526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 OLD COUNTRY RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TERRY RD",
            "address_2": "STE A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873894",
            "telephone_number": "631-265-4485",
            "fax_number": "631-265-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSHTEIN",
        "first_name": "REUBEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "281962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04501795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.