Active NPI
Ronald Paul Burakoff, D.M.D.
- Public Health Dentistry
- New Hyde Park, NY
National Provider Identifier
1659372944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 31223
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1433 - Phone
- (718) 470-7111
- Fax
- (718) 347-4118
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 31223 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1433
Mailing address
1735 York Ave
Apartment 26 G
New York, NY 10128-6855
Phone (718) 470-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31223 | NY | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1659372944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 YORK AVE",
"address_2": "APARTMENT 26 G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286855",
"telephone_number": "718-470-7111",
"fax_number": "718-347-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401433",
"telephone_number": "718-470-7111",
"fax_number": "718-347-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAKOFF",
"first_name": "RONALD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NY",
"license": "31223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.