Alexander Borukhov, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

048512 Issued in NY

Practice address

10857 64TH Ave
Suite 1
Forest Hills, NY 11375-1442

Phone

(718) 830-6263

Fax

(718) 830-6263

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alexander D. Borukhov, DMD, P.C.

  • Dentist
  • Forest Hills, NY
  • NPI 1215196944
  NPD (past) Authorized official
• Dynasty Dental Care, PC

  • Dentist
  • Forest Hills, NY
  • NPI 1902343080
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457429474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 64TH AVE",
            "address_2": "SUITE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751442",
            "telephone_number": "718-830-6263",
            "fax_number": "718-830-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 64TH AVE",
            "address_2": "SUITE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751442",
            "telephone_number": "718-830-6263",
            "fax_number": "718-830-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUKHOV",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02057041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boon Speech Therapy PC
• Howard Scott Boriskin, MD
• Mangesh Rajan Borkar
• Elcy Borrero Tovar
• Rafael Boruchov, DDS
• Shamuel Borukhov, PHARMD
• Mazoltuv Borukhova, MD
• Natella Borukhova, PHARM.D
• Oksana Borukhova
• Roksana Borukhova, AU.D.

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.