SRB Medical PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SRB MEDICAL PLLC

Practice address

1875 Kirkwood Ave
Merrick, NY 11566-4303

Phone

(347) 804-7028

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Reuben Burshtein, MDNPI 1033458526

Title

Authorized Official

Phone

(347) 804-7028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Reuben David Burshtein, D.O.

  • Neurology Physician
  • Smithtown, NY
  • NPI 1033458526
  Medicare reassignment NPD Authorized official
• Anand Kumar, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • West Islip, NY
  • NPI 1053650929
  Medicare reassignment

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1912631417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 KIRKWOOD AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 KIRKWOOD AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664303",
            "telephone_number": "347-804-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRB MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BURSHTEIN",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "347-804-7028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Hand Therapy and Occupational Therapy PLLC
• Patricia Ann Speirs, RN
• Lisa Sperling-Leicht
• Lori Ann Spilabotte, P.T.
• Laura Squillace
• Patti Stadler/Seiler, OT/L
• Yolanda Stahl, DPM
• Rachel Ann Stamile
• Romaine Stanger, LCSW
• Stat Medical Equipment Services & Sales, Inc

• Neurology Physician in Merrick, NY
• Providers in Merrick, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.