David Borukhov, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

270938 Issued in NY

Practice address

300 Community Dr
Manhasset, NY 11030-3816

Phone

(646) 201-6433

NPI assigned

Mar 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4

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.

• Borukhov Radiology PLLC

  • Radiology Clinic/Center
  • Briarwood, NY
  • NPI 1003389347

  NY

  Medicare reassignment Authorized official
• City Wide Health Facility, Inc.

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1013934025
  NPD
• Distinguished Diagnostic Imaging P.C.

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1306061890
  NPD
• South Island Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Cedarhurst, NY
  • NPI 1194377465
  NPD
• South Island Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Rockville Centre, NY
  • NPI 1912673856
  NPD
• Third Avenue Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Bronx, NY
  • NPI 1619416229
  NPD
• Advanced Radiological Imaging-Astoria PC

  • Diagnostic Radiology Physician
  • Astoria, NY
  • NPI 1366490104

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1902105190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "718-480-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "646-201-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUKHOV",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "270938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Bonilla, MD
• Adira Boniuk, MD
• Julia Bonvino
• Keenan Alvarez Borde, MD
• Zachary Allen Bordeaux
• Emil Adam Borzdynski, D.O
• Amita Bose
• Giovanna Occhipinti Bouchereau, RN. NP
• Lauren Bougioukas, MD
• Spiro Boukas, D.D.S.

• All providers in Manhasset, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.