Individual provider Active NPI

Jon B Turk, M.D.

  • Specialist
  • Woodbury, NY
National Provider Identifier
1063585057
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178865 Issued in NY
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113350605OtherNYETIN

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
I20231102003309 NY Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 9436062130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178865NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon B. Turk, M.D., P.C. CurrentSince Nov 14, 1996 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.