Paul Burke, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Brooklyn, NY
NPI 1720021728 · NPPES record last updated May 25, 2020
Key facts
- NPI
- 1720021728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 205357 (NY)
- Practice address
- 1 Brookdale PLZ
Katz-Pavillion RM. 4-C30
Brooklyn, NY 11212-3139 - Phone
- (718) 240-5977
- Fax
- (718) 240-6610
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- State University of Ny Upstate Medical University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center
Practice addresses (Care Compare)
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428
Hospital & facility affiliations
- Mercy Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040721000858 | NY | Practitioner - Obstetrics/Gynecology | 1658351663 | Reassigns benefits to 4 organizations |
| I20190103000091 | MD | Practitioner - Obstetrics/Gynecology | 1658351663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (14 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women2Women Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mercy Medical Center | Current |
Accepting new patients | |
| The Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| OBGYN Hospitalist Medical Services of New York, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Park Slope Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| TJH Medical Services, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| TJH Medical Services, PC | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients | |
| Brookdale Family Care Center, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
1235 Linden Blvd
Fl 1
Brooklyn, NY 11212
Phone (718) 975-8368
1 Brookdale Plz
Ste 666
Brooklyn, NY 11212
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
9413 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 250-3712
1 Brookdale Plz
Rm 4C30
Brooklyn, NY 11212
Phone (718) 240-5977
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
180 Harry L Dr
Johnson City, NY 13790
Phone (607) 417-0500
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- pburke550943@direct.umm.edu
- pburke161702@direct-chsli.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 205357 | NY | Yes |
Addresses
Primary practice location
1 Brookdale PLZ
Katz-Pavillion RM. 4-C30
Brooklyn, NY 11212-3139
Mailing address
1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3198
Phone (718) 240-5811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01770218 | Medicaid | NY |
Other providers in Brooklyn, NY
- Jenna L Burke
- Kevin Ethan Burke
- Kevin Patrick Burke
- Maryalice Burke
- Natalie Burke
- Rose Burke
- Roxanne Burke
- Shawana Burke
- Sheneille Burke
- Sheniece Burke
All providers in Brooklyn, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.