NPIMap

Organization Active NPI

Yoav Borsuk MD PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1093008278
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
213551-1 Issued in NY
Legal business name
YOAV BORSUK MD PC
Practice address
167 Madison Ave
Suite # 605
New York, NY 10016-5430
Phone
(212) 979-8880
NPI assigned
May 23, 2011
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Yoav Borsuk, M.D.NPI 1205819414
Title
President
Phone
(917) 509-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 213551-1 NY Primary

Addresses

Primary practice location

167 Madison Ave
Suite # 605
New York, NY 10016-5430

Mailing address

167 Madison Ave
Suite # 605
New York, NY 10016-5430
Phone (212) 979-8880

Other identifiers 1

IdentifierTypeStateIssuer
213551-1OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000144 NY Part B Supplier - Clinic/Group Practice 4587691308 Receives reassigned benefits from 10 practitioners
Practice locations: Bronx, NY; Highland, NY; Kingston, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

167 Madison Ave
Rm 605
New York, NY 10016
Phone (212) 979-8880

94 E 1st St
Apt 1H
New York, NY 10009
Phone (212) 677-2157

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1093008278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MADISON AVE",
            "address_2": "SUITE # 605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165430",
            "telephone_number": "212-979-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MADISON AVE",
            "address_2": "SUITE # 605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165430",
            "telephone_number": "212-979-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOAV BORSUK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "BORSUK",
        "authorized_official_first_name": "YOAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-509-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213551-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "213551-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.