Individual provider Active NPI

Paul Burke, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1720021728
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
205357 Issued in 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
Last updated
May 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 205357 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 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
I20040721000858 NY Practitioner - Obstetrics/Gynecology 1658351663 Reassigns benefits to 4 organizations
I20190103000091 MD Practitioner - Obstetrics/Gynecology 1658351663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 4082518006, 83 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Feb 25, 2024 Accepting new patients
Mercy Medical Center CurrentSince Feb 25, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 30, 2018 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Feb 5, 2018 Accepting new patients
Women2Women Obstetrics and Gynecology, LLC Obstetrics & Gynecology CurrentSince Sep 27, 2020 Accepting new patients
Mercy Medical Center Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 29, 2009 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 30, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 29, 2009 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology Past Accepting new patients
Park Slope Obstetrics & Gynecology, 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

1 Brookdale Plz
Rm 4C30
Brooklyn, NY 11212
Phone (718) 240-5977

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212
Phone (718) 240-8352

1235 Linden Blvd
Fl 1
Brooklyn, NY 11212
Phone (718) 975-8368

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

9413 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 250-3712

180 Harry L Dr
Johnson City, NY 13790
Phone (607) 417-0500

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

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

Interoperability endpoints

  • Direct secure messaging: pburke161702@direct-chsli.net
  • Direct secure messaging: pburke550943@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1720021728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-5811",
            "fax_number": "718-240-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "KATZ-PAVILLION RM. 4-C30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5977",
            "fax_number": "718-240-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "205357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.