Stanislav Bushik, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

323063 Issued in NY

Practice address

450 Clarkson Ave
Brooklyn, NY 11203-2012

Phone

(718) 270-3302

NPI assigned

May 9, 2018

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

Medical College of Georgia School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc
• Direct secure messaging: stanislav.bushik.1@438.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1538116082
  Medicare reassignment Care Compare group NPD
• Interborough Developmental and Consultation Center, Inc.

  dba LSA Recovery

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1588611842
  Medicare reassignment NPD
• Sla Associates LLC

  dba IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1528447679
  Medicare reassignment NPD
• Interborough Developmental and Consultation Center, Inc.

  dba IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1912867433
  NPD
• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
  • NPI 1689715476
  NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328
  NPD (past)
• University Physicians of Brooklyn, Inc

  dba Downstate Health Physicians

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1104878180
  NPD (past)

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

• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328
  Care Compare affiliation

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1346739984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # MSC40",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-2420",
            "fax_number": "718-818-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHIK",
        "first_name": "STANISLAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "323063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bush, MFA, ATR-BC, LCAT
• Ola Bush
• Taryn Bush, RDMT
• Raksha Bushan, PA-C
• Janille Kamisha Bushay, FNP
• Matthew Bushman
• Bushwick Center for Renal Dialysis, LLC
• Bushwick Economic Development Corp
• Bushwick Medical of New York LLC
• Bushwick Orthodontic Studio

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.