Ellen Burov, Medical P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

210216-1 Issued in NY

Legal business name

ELLEN BUROV, MEDICAL P C

Practice address

1317 3Rd Ave
4TH Floor
New York, NY 10021-2995

Phone

(212) 734-0187

Fax

(212) 327-0187

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Burov, MDNPI 1528146958

Title

Physician

Phone

(212) 734-0187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Ellen A Burov, MD

  • Specialist
  • New York, NY
  • NPI 1528146958
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891901526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-734-0187",
            "fax_number": "212-327-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-734-0187",
            "fax_number": "212-327-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN BUROV, MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUROV",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-734-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "210216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Ellaboudi, PT
• Joan Ellazar
• Elle L Mental Health Counseling PLLC
• Danielle Elleman, LCSW
• Ellen Blye, M.D. & Elliot J. Arons, M.D., P.C.
• Ellen C. Gendler, M.D., P.C.
• Ellen M Buchbinder MD PC
• Ellen M Rooney MD PC
• Ellen Mellow MD, PLLC
• Nicole M Ellen, P.T.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.