NPIMap

Individual provider Active NPI

Yelena Averbukh, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1467461665
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
227782 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-7270
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227782 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

Other identifiers 12

IdentifierTypeStateIssuer
112735566OtherNYPHCS
AY7782OtherNYATLANTIS
227782OtherNYHIP
2321544OtherNYUNITED HEALTHCARE
233AHOtherNYB/C B/S
2591347OtherNYG.H.I.
9532092OtherNYCIGNA HEALTH PLAN
3233202OtherNYAETNA USHC HMO
112735566OtherNY1199 NATIONAL HEALTH PLAN
7014462OtherNYAETNA USHC PPO
3C5345OtherNYPHS
P2914186OtherNYOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040311000618 NY Practitioner - HospitalistPractitioner - Internal Medicine 6204725062 Reassigns benefits to 4 organizations
I20241011001817 NY Practitioner - Internal Medicine 6204725062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1465 3Rd Ave
New York, NY 10028-1926
Phone (646) 754-2300

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

540 Hudson St
NYU Langone Care on Demand W Vill
New York, NY 10014-3233
Phone (646) 754-2200

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince Feb 1, 2023 Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jun 14, 2023 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jun 14, 2023 Accepting new patients
Symphony Medical PC CurrentSince Feb 1, 2023 Accepting new patients
Symphony Medical PC Current Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Lenox Hill Hospital Past Accepting new patients
Regional Physician Services, PC Internal Medicine PastSince Mar 10, 2009 Accepting new patients
Immediate Medical Care of Manhattan, PC Internal Medicine Past Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

111 E 210th St
Bronx, NY 10467

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

140 W 69th St
New York, NY 10023
Phone (212) 496-9620

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yaverbukh2071485@nychhc.direct-ci.com
  • Direct secure messaging: yaverbukh680954@nyumc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1467461665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBUKH",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "112735566",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "AY7782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "227782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2321544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "233AH",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.H.I.",
            "identifier": "2591347",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "9532092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC HMO",
            "identifier": "3233202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NATIONAL HEALTH PLAN",
            "identifier": "112735566",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC PPO",
            "identifier": "7014462",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "3C5345",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2914186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.