NPIMap

Individual provider Active NPI

Marina Boruk, MD

  • Otolaryngology Physician
  • Brooklyn, NY
National Provider Identifier
1235166281
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
237406 Issued in NY
Practice address
450 Clarkson Ave Ste H
Brooklyn, NY 11203-2012
Phone
(718) 270-1638
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians of Brooklyn, Inc. 174 clinicians
North Shore-Lij Medical PC 6,374 clinicians

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959

450 Lakeville Rd
New Hyde Park, NY 11042-1118
Phone (516) 734-8500

Hospital & facility affiliations

  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

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
I20101027000161 NY Practitioner - Otolaryngology 6608872700 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41282KYMDOtolaryngology Physician
MD41090TNMDOtolaryngology Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Otolaryngology CurrentSince Jul 10, 2010 Accepting new patients
New York Rhinology P.C. Otolaryngology Current Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 10, 2010 Accepting new patients
North Shore-Lij Medical PC Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Sage Otolaryngology PLLC Otolaryngology Past Accepting new patients

Locations

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
Ste H
Brooklyn, NY 11203
Phone (718) 270-1230

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

101 Saint Andrews Ln
#5
Glen Cove, NY 11542

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: mboruk1051024@nychhc.direct-ci.com
  • Direct secure messaging: mboruk67509@northwell.direct-ci.com
  • Direct secure messaging: mab9509@direct.nyp.org
  • Direct secure messaging: marina.boruk@upbent.ssdirect.aprima.com
  • Direct secure messaging: marinaboruk@sunydmc.allscriptsdirect.net

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD41090 TN
Otolaryngology Physician 207Y00000X 41282 KY
Otolaryngic Allergy Physician 207YX0602X 237406 NY
Otolaryngology Physician 207Y00000X 237406 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

450 Clarkson Ave Ste H
Brooklyn, NY 11203-2012

Mailing address

22 N 6TH St Apt 23GH
Brooklyn, NY 11249-3093
Phone (646) 481-1311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2018.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1235166281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N 6TH ST APT 23GH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493093",
            "telephone_number": "646-481-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE STE H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUK",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD41090",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "41282",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NY",
            "license": "237406",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "237406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.