NPIMap

Individual provider Active NPI

Ilya Y Burshteyn, MD

  • General Practice Physician
  • Forest Hills, NY
National Provider Identifier
1073546131
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
215638 Issued in NY
Practice address
10525 64TH Ave
Forest Hills, NY 11375-1640
Phone
(718) 459-3494
Fax
(718) 606-6069
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 215638 NY Primary
Internal Medicine Physician 207R00000X 215638 NY

Addresses

Primary practice location

10525 64TH Ave
Forest Hills, NY 11375-1640

Mailing address

1401 Ocean Ave Ste LD
Brooklyn, NY 11230-3998
Phone (718) 513-4455

Other practice location 1

1401 Ocean Ave Ste Ld
Brooklyn, NY 11230-3998
Phone (718) 513-4455

Other practice location 2

713 Yonkers Ave
Yonkers, NY 10704-2657
Phone (914) 963-0125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709001140 NY Practitioner - Internal MedicinePractitioner - Family Practice 0446238018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
London Medical Diagnostic PCGroup PAC ID 7517988256, 3 clinicians

Practice addresses (Care Compare)

10525 64TH Ave
Forest Hills, NY 11375-1640
Phone (718) 459-3494

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Physician Services of Ny PastSince Jan 31, 2006 Accepting new patients
Union Square Medical Imaging and Mammography PC Past Accepting new patients
Gamma Medical Diagnostic, PC PastSince Oct 2, 2002 Accepting new patients
Yonkers Medical Diagnostic,PC PastSince May 15, 2006 Accepting new patients
Izak Herschitz MD PC PastSince Jul 12, 2017 Accepting new patients

Networks

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1073546131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OCEAN AVE STE LD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303998",
            "telephone_number": "718-513-4455",
            "fax_number": "718-375-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-606-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Ocean Ave Ste Ld",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112303998",
            "country_code": "US",
            "telephone_number": "718-513-4455",
            "fax_number": "718-375-1944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Yonkers Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107042657",
            "country_code": "US",
            "telephone_number": "914-963-0125",
            "fax_number": "914-423-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURSHTEYN",
        "first_name": "ILYA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "215638",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.