Lev Pukin, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

224460 Issued in NY

Practice address

3049 Ocean Pkwy Ste 303
Brooklyn, NY 11235-8367

Phone

(718) 737-7200

Fax

(888) 960-2493

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

New York Vascular Medicine PLLCGroup PAC ID 5890124689, 2 clinicians

Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94.87

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: clinical@sinaidiag.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Vascular Medicine PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1053942797

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Monmouth Vascular Imaging LLC

  • Vascular & Interventional Radiology Physician
  • Toms River, NJ
  • NPI 1033740774

  Single Specialty

  Medicare reassignment NPD Authorized official
• Pulse Vascular, LLC

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
  • NPI 1255899704

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Medex Diagnostic and Treatment Center LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1629001102

  Single Specialty

  Medicare reassignment NPD
• Cardiac and Vascular Interventions of New Jersey LLC

  • Vascular & Interventional Radiology Physician
  • New Brunswick, NJ
  • NPI 1841808102

  Single Specialty

  Medicare reassignment NPD
• Heritage Wound Care LLC

  • Vascular Surgery Physician
  • Jersey City, NJ
  • NPI 1801447784

  Single Specialty

  Medicare reassignment NPD
• Robert Wood Johnson Medical Associates

  • Hospitalist Physician
  • New Brunswick, NJ
  • NPI 1902848625

  Single Specialty

  Medicare reassignment NPD
• Vascular Health LLC

  • Nephrology Physician
  • Freehold, NJ
  • NPI 1053977801

  Single Specialty

  Medicare reassignment NPD
• Northeast Kidney Care LLC

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1023889565

  Single Specialty

  NPD (past)

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

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1609849546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY STE 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-737-7200",
            "fax_number": "888-960-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY STE 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-737-7200",
            "fax_number": "888-960-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUKIN",
        "first_name": "LEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "224460",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07506300",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "75179",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07506300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8863300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anxhela Pukaj
• Diana Pukhovich, FNP
• Ludmila Pukhovich, M.S. SLP-CF, TSSLD
• Yakov Pukhovich, LCSW
• Farrah Pukin, CCC-SLP
• Paul Pukurdpol, M.D., M.P.H.
• Padmanabha Rao Pulakhandam, MD
• Ciro Anthony Puleo, R.PH
• Dorothy Puleo
• Falon Pulice, RN

• Vascular & Interventional Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.