Active NPI
Jon B Turk, M.D.
- Specialist
- Woodbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 178865
- Practice address
- 173 Froehlich Farm Blvd
Woodbury, NY 11797-2906 - Phone
- (516) 921-8989
- Fax
- (516) 921-1860
- NPI assigned
- Nov 16, 2006
- Last updated
- Oct 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 178865 | NY | Primary |
Addresses
Primary practice location
173 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Mailing address
173 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone (516) 921-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113350605 | Other | NY | ETIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102003309 | NY | Order and Referring Only - Otolaryngology | 9436062130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178865 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jon B. Turk, M.D., P.C. | Current | Accepting new patients | |
| Long Island College Hospital | Past | Accepting new patients | |
| Lich Faculty Practice | Past | Accepting new patients |
Locations
800A 5th Ave
Ste 202
New York, NY 10065
Phone (212) 421-4845
173 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 682-8288
Interoperability endpoints
- jturk1852660@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
dba Manhattan Plastic Surgery
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
- NPI 1508524166
-
dba LICH Faculty Practice Psychiatric Associates
- Psychiatry Physician
- Brooklyn, NY
- NPI 1841457967
-
dba Lich Plastic and Reconstruction
- Otolaryngology/Facial Plastic Surgery Physician
- Brooklyn, NY
- NPI 1205844768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1063585057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 FROEHLICH FARM BLVD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972906",
"telephone_number": "516-921-8989",
"fax_number": "516-921-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 FROEHLICH FARM BLVD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972906",
"telephone_number": "516-921-8989",
"fax_number": "516-921-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURK",
"first_name": "JON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "178865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETIN",
"identifier": "113350605",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
- True North Dialysis Center LLC (Crossways Park Dialysis)
- True North Medical Group PC (Orlin & Cohen Medical Specialists Group)
- Timothy William Tsang, PT
- Michelle Tucci, LMFT
- Deborah Turhan, LMSW
- Ryan Turner, D.D.S.
- Upr Care Corp (Cold Spring Hills Nursing Home)
- Upr Care Corp. (Cold Spring Hills Center for Nursing and Rehabilitation)
- Upr Care Corp. (Cold Spring Hills Center for Nursing and Rehabilitation)
- Matthew Uy, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.