Active NPI
Tatiana Voitovitch-Khurgin, D.O.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Brooklyn, NY
National Provider Identifier
1558575514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 216515
- Practice address
- 68-80 Schermerhorn St.
Brooklyn, NY 11201 - Phone
- (718) 858-7200
- Fax
- (718) 858-1119
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 216515 | NY | Primary |
Addresses
Primary practice location
68-80 Schermerhorn St.
Brooklyn, NY 11201
Mailing address
175 W 87TH St
Apt. 5C
New York, NY 10024-2904
Phone (212) 362-8295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02092322 | Medicaid | NY | |
| 216515 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000097 | NY | Practitioner - Family Practice | 4486778685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216515 | NY | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Medical PC | Current | Accepting new patients | |
| New York Hotel Trades Council & Hotel Association of Nyc Health Center | Past | Accepting new patients | |
| Prohealth Care Associates, LLP | Past | Accepting new patients | |
| LHHN Medical, P.C. | Past | Accepting new patients |
Locations
3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070
4405 Broadway
New York, NY 10040
Phone (212) 740-2020
Organizations & group practices 4
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1811006083
-
dba Manhattans Physicians Group / AdvantageCare Physicians
- Family Medicine Physician
- New York, NY
- NPI 1740222181
-
- Clinic/Center
- Brooklyn, NY
- NPI 1164777884
-
- Physical Therapist
- Carmel, NY
- NPI 1508324898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558575514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W 87TH ST",
"address_2": "APT. 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100242904",
"telephone_number": "212-362-8295",
"fax_number": "212-496-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68-80 SCHERMERHORN ST.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-858-7200",
"fax_number": "718-858-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOITOVITCH-KHURGIN",
"first_name": "TATIANA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "216515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02092322",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "216515",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.