Organization Active NPI

Boruch Midwifery P.C.

  • Midwife
  • New York, NY
National Provider Identifier
1841550050
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001245 Issued in NY
Legal business name
BORUCH MIDWIFERY P.C.
Practice address
124 E 40TH St RM 203
New York, NY 10016-1763
Phone
(718) 938-4488
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mrs. Yuliya Boruch, CNM, OB/GYN NPNPI 1619012242
Title
CNM, OBGYN NP
Phone
(718) 938-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X F001245 NY Primary

Addresses

Primary practice location

124 E 40TH St RM 203
New York, NY 10016-1763

Mailing address

18222 Tudor Rd
Jamaica, NY 11432-1510
Phone (718) 938-4488

Other identifiers 1

IdentifierTypeStateIssuer
02964854MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120814000037 NY Part B Supplier - Clinic/Group Practice 4183870710 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

124 E 40th St
Rm 203
New York, NY 10016
Phone (718) 938-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1841550050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18222 TUDOR RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321510",
            "telephone_number": "718-938-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 40TH ST RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161763",
            "telephone_number": "718-938-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORUCH MIDWIFERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BORUCH",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "CNM, OBGYN NP",
        "authorized_official_telephone_number": "718-938-4488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM, OB/GYN NP"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02964854",
            "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 Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.