Active NPI
Leonid Igorevich Burunchenko, MD
- Emergency Medicine Physician
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA11043200
- Practice address
- 1140 Route 72 W
Manahawkin, NJ 08050-2412 - Phone
- (609) 597-6011
- NPI assigned
- May 9, 2018
- Last updated
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 309491 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 25MA11043200 | NJ | Primary |
Addresses
Primary practice location
1140 Route 72 W
Manahawkin, NJ 08050-2412
Mailing address
15 Abingdon Ave
Medford, NJ 08055-3361
Phone (267) 970-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Drexel University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (954) 939-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 39.04 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 58.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihpnj ER LLC | Emergency Medicine | Current | Accepting new patients |
| Barron Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Ocean Medical Center
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1033608583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ABINGDON AVE",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553361",
"telephone_number": "267-970-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502412",
"telephone_number": "609-597-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURUNCHENKO",
"first_name": "LEONID",
"middle_name": "IGOREVICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "309491",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA11043200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.