Individual provider Active NPI

Burij Muchnik, P.A.

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1639276314
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9100827 Issued in FL
Practice address
3720 SW 107TH Ave Ste 1
Miami, FL 33165-3639
Phone
(305) 554-4270
NPI assigned
Sep 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9100827 FL Primary

Addresses

Primary practice location

3720 SW 107TH Ave Ste 1
Miami, FL 33165-3639

Mailing address

6957 SW 115TH PL Apt D
Miami, FL 33173-1872
Phone (305) 274-8789

Other identifiers 1

IdentifierTypeStateIssuer
2918404MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000990 FL Practitioner - Physician Assistant 1658352299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramses Vega MD PAGroup PAC ID 2769384023, 2 clinicians

Practice addresses (Care Compare)

3720 SW 107TH Ave
Suite 1
Miami, FL 33165-3639
Phone (305) 753-1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Health Center Inc PastSince May 8, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639276314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 SW 115TH PL APT D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731872",
            "telephone_number": "305-274-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SW 107TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653639",
            "telephone_number": "305-554-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHNIK",
        "first_name": "BURIJ",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9100827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2918404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.