Individual provider Active NPI

Mark Burshteyn, M.D

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1619118932
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
291674-1 Issued in NY
Practice address
3401 N. Broad Street
Philadelphia, PA 19140
Phone
(215) 707-7237
Fax
(215) 707-9389
NPI assigned
Mar 17, 2009
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD443993 PA
Diagnostic Radiology Physician 2085R0202X C1-0010021 DE
Diagnostic Radiology Physician 2085R0202X 25MA09090500 NJ
Vascular & Interventional Radiology Physician 2085R0204X C1-0010021 DE
Vascular & Interventional Radiology Physician 2085R0204X 25MA09090500 NJ
Vascular & Interventional Radiology Physician 2085R0204X MD443993 PA
Vascular & Interventional Radiology Physician 2085R0204X 291674-1 NY Primary

Addresses

Primary practice location

3401 N. Broad Street
Philadelphia, PA 19140

Mailing address

41 E Post Rd
White Plains, NY 10601-4699
Phone (914) 681-1273

Other identifiers 3

IdentifierTypeStateIssuer
0295841MedicaidNJ
102686716MedicaidPA
1619118932MedicaidDE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120618000433 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8628238219 Reassigns benefits to 3 organizations
I20180227002590 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8628238219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

14 Mettowee Farms CT
Upper Saddle River, NJ 07458-2125
Phone (212) 772-3111

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09090500NJMDDiagnostic Radiology Physician
291674-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Jan 1, 2021 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Montclair Radiological Assoc ,PA Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology PastSince Feb 1, 2018 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

777 Passaic Ave
Ste 360
Clifton, NJ 07012

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

2 Longview Ave
Fl 2
White Plains, NY 10601
Phone (914) 849-7539

2 Longview Ave
Fl 3
White Plains, NY 10601
Phone (914) 684-2779

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1619118932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014699",
            "telephone_number": "914-681-1273",
            "fax_number": "914-681-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N. BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-7237",
            "fax_number": "215-707-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSHTEYN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD443993",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0010021",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09090500",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DE",
            "license": "C1-0010021",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09090500",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD443993",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "291674-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295841",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102686716",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619118932",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.