Active NPI
Steven James Burakoff, M.D.
- Clinical & Laboratory Immunology (Internal Medicine) Physician
- New York, NY
National Provider Identifier
1407089832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Immunology (Internal Medicine) Physician
- License
- 110740-1
- Practice address
- One Gustave L. Levy Place
Box 1079
New York, NY 10029-6574 - Phone
- (212) 659-8959
- NPI assigned
- Sep 2, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical & Laboratory Immunology (Internal Medicine) Physician | 207RI0001X | 110740-1 | NY | Primary |
Addresses
Primary practice location
One Gustave L. Levy Place
Box 1079
New York, NY 10029-6574
Mailing address
1 Gustave L Levy Place
Box 1079
New York, NY 10029-6574
Phone (212) 659-8959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110740-1 | NY | MD | Clinical & Laboratory Immunology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1407089832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PLACE",
"address_2": "BOX 1079",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-659-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE GUSTAVE L. LEVY PLACE",
"address_2": "BOX 1079",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-659-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAKOFF",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical & Laboratory Immunology",
"state": "NY",
"license": "110740-1",
"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 Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.