Individual provider Active NPI

Leonid Bukhman, M.D

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1144334699
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216806 Issued in NY
Practice address
2256 2ND Ave FL 2
New York, NY 10029-2202
Phone
(212) 758-7777
Fax
(212) 858-0657
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216806 NY Primary

Addresses

Primary practice location

2256 2ND Ave FL 2
New York, NY 10029-2202

Mailing address

50 Lexington Ave
Suite 21H
New York, NY 10010-2935

Other identifiers 1

IdentifierTypeStateIssuer
02635427MedicaidNY

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
I20061226000101 NY Practitioner - Family Practice 9335149319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bukhman MD PCGroup PAC ID 2961402946, 8 clinicians
Org Medical PLLCGroup PAC ID 7315016250, 7 clinicians

Practice addresses (Care Compare)

2256 2ND Ave
FL 3
New York, NY 10029-2202
Phone (212) 758-7777

99 Moore St
1A
Brooklyn, NY 11206-3329
Phone (718) 387-0555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bukhman MD PC Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Org Medical PLLC CurrentSince Oct 18, 2010 Accepting new patients

Locations

2256 2nd Ave
Fl 3
New York, NY 10029
Phone (212) 222-0075

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFEAA/Endpoint/FCFEAA
  • Direct secure messaging: lbukhman1040773@nychhc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1144334699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEXINGTON AVE",
            "address_2": "SUITE 21H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 2ND AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292202",
            "telephone_number": "212-758-7777",
            "fax_number": "212-858-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHMAN",
        "first_name": "LEONID",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.