Supreme Medical Diagnostic,P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUPREME MEDICAL DIAGNOSTIC,P.C.

Practice address

215 E 68TH St
Suite 8
New York, NY 10065-5718

Phone

(212) 288-2553

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Y Burshteyn, M.D.,

Title

Owner

Phone

(212) 288-3474

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Andrew J Martorella, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
  • NPI 1639140437
  NPD (past)
• John Michael Ventrudo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1639376999
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241827200000",
    "number": "1093949893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 68TH ST",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655718",
            "telephone_number": "212-288-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 68TH ST",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655718",
            "telephone_number": "212-288-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL DIAGNOSTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-09",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supplemental Healthcare
• Support by Design Inc
• Support by Design, OT, SLP,PT, PLLC (Support By Design)
• Supportive Medical PC
• Supportive Psychological Services PC
• Supreme Therapy Services, LLC
• Shayana Supreme, MHC-LP
• Farrah Suprijanto
• Ulana Suprun, MD
• Yoav Suprun, D.P.T.

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.