Active NPI
Judith Bukberg, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1326254376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 124027
- Practice address
- 26 W 9TH St Apt 2E
New York, NY 10011-8923 - Phone
- (212) 614-0312
- Fax
- (212) 255-8530
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 124027 | NY | Primary |
Addresses
Primary practice location
26 W 9TH St Apt 2E
New York, NY 10011-8923
Mailing address
26 W 9TH St Apt 2E
New York, NY 10011-8923
Phone (212) 614-0312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 21, 2025 through Feb 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124027 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645228800000",
"number": "1326254376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 W 9TH ST APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118923",
"telephone_number": "212-614-0312",
"fax_number": "212-255-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 W 9TH ST APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118923",
"telephone_number": "212-614-0312",
"fax_number": "212-255-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKBERG",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "124027",
"primary": true
}
],
"identifiers": [],
"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 Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.