Individual provider Active NPI

Tatiana Voitovitch-Khurgin, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1558575514
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
216515 Issued in NY
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02092322MedicaidNY
216515OtherNYLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000097 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4486778685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216515NYMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Medical PC CurrentSince Dec 14, 2015 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.

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

Verify at the official NPI Registry.