Individual provider Active NPI

Rita S. Bukhman-Khobot

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1760639363
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200801231 Issued in NC
Practice address
360 Bard Ave
Staten Island, NY 10310-1666
Phone
(718) 876-2000
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200801231 NC Primary

Addresses

Primary practice location

360 Bard Ave
Staten Island, NY 10310-1666

Mailing address

360 Bard Ave
Staten Island, NY 10310-1666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbukhman123128@nyumc.direct-ci.com Other NYU Langone

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20090806000618 NY Practitioner - Diagnostic Radiology 9335200815 Reassigns benefits to 7 organizations
I20260316000364 FL Practitioner - Diagnostic Radiology 9335200815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Advantage Radiology. PCGroup PAC ID 6406938265, 2 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

207 E 84TH St
New York, NY 10028-2972
Phone (646) 754-3300

3049 Ocean Pkwy
Suite 101
Brooklyn, NY 11235-8372
Phone (718) 265-1000

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200801231NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2016 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2013 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Mar 11, 2024 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2013 Accepting new patients
New York University CurrentSince Apr 1, 2016 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Mar 11, 2024 Accepting new patients
Advantage Radiology. PC Diagnostic Radiology CurrentSince Dec 16, 2018 Accepting new patients
Regional Imaging & Therapeutic Radiology Services PC Diagnostic Radiology Past Accepting new patients

Locations

3049 Ocean Pkwy
Ste 101
Brooklyn, NY 11235
Phone (718) 265-1000

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

3917 Richmond Ave
Staten Island, NY 10312
Phone (718) 876-2000

360 Bard Ave
Staten Island, NY 10310
Phone (718) 876-2000

4849 Arthur Kill Rd
#P
Staten Island, NY 10309
Phone (718) 876-2000

Interoperability endpoints

  • Direct secure messaging: rbukhman2947627@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rbukhman123128@nyumc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1760639363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101666",
            "telephone_number": "718-876-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHMAN-KHOBOT",
        "first_name": "RITA",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200801231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbukhman123128@nyumc.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "NYU Langone",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "360 Bard Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103101666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.