Omicron Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2156381 Issued in NY

Legal business name

OMICRON MEDICAL PC

Practice address

10525 64TH Ave
Forest Hills, NY 11375-1640

Phone

(718) 459-3494

Fax

(718) 606-6069

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Burshteyn

Title

MD

Phone

(718) 459-3494

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1538696372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-606-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-606-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMICRON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-459-3494",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2156381",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0060751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Walter Olkowski, MD
• Eric Olsen-Tank
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• Christopher David Oltorik, MD
• Olympus Chiropractic, PC
• One Stop Home Care Agency, LLC
• One Way Pharmacy Inc
• Jennifer Oneill, N.P.
• Tran Hue Ong-Reyes, M.A., CCC-SLP
• Anthony Ugochukmu Kema Onu, MD

• Internal Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.