Organization Active NPI

Dr. Eugene Burbacki DDS PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1811103450
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043058 Issued in NY
Legal business name
DR. EUGENE BURBACKI DDS PC
Practice address
2127 1St Ave
New York, NY 10029-3339
Phone
(212) 426-8200
Fax
(212) 426-6606
NPI assigned
May 14, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Eugene Burbacki, DDS
Title
Owner
Phone
(212) 426-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043058 NY Primary

Addresses

Primary practice location

2127 1St Ave
New York, NY 10029-3339

Mailing address

2127 1St Ave
New York, NY 10029-3339
Phone (212) 426-8200

Other identifiers 1

IdentifierTypeStateIssuer
02713748MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dr Eugene Burbacki DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1811103450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293339",
            "telephone_number": "212-426-8200",
            "fax_number": "212-426-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293339",
            "telephone_number": "212-426-8200",
            "fax_number": "212-426-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EUGENE BURBACKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BURBACKI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-426-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02713748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.