Mark Gurtovy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200341 Issued in NY

Practice address

7620 Bay Pkwy Ste 1-B
Brooklyn, NY 11214-1516

Phone

(718) 232-1492

Fax

(718) 232-4505

NPI assigned

Jul 23, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kings Medical Care, P.C.Group PAC ID 0749171908, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kings Medical Care, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1083733091
  Medicare reassignment Care Compare group NPD
• Lana Gaiton Psychological Services, PC

  • Psychologist
  • Brooklyn, NY
  • NPI 1649716127
  Medicare reassignment NPD
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)
• Bella Shapnik, MD, PA

  • Internal Medicine Physician
  • Fort Lee, NJ
  • NPI 1831334200
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1053332072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 BAY PKWY STE 1-B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1492",
            "fax_number": "718-232-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 BAY PKWY STE 1-B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1492",
            "fax_number": "718-232-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURTOVY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "200341",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA 67468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8364605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Gurrieri, MSW
• Emil L Gurshumov, MD
• Esmiralda Gurshumova, NP
• Emilia Gursky
• May Gurt
• Bidhya Gurung
• Dikchha Gurung
• Nyilja W Gurung
• Sabin Gurung
• Mariya Gurvich, O.D.

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.

Verify at the official NPI Registry.