Active NPI
Alla B Buzinover, DO
- Adult Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 255180
- Practice address
- 4290 Broadway Ste 2S
New York, NY 10033-3732 - Phone
- (212) 781-5100
- Fax
- (212) 781-5329
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 255180 | NY | Primary |
Addresses
Primary practice location
4290 Broadway Ste 2S
New York, NY 10033-3732
Mailing address
4290 Broadway Ste 2S
New York, NY 10033-3732
Phone (212) 781-5100
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11506 Beach Channel Dr
Suite 101
Rockaway Park, NY 11694-2113
Phone (718) 474-7744
2814 Clarendon Rd
Brooklyn, NY 11226-6318
Phone (718) 469-7363
7608 Bay Pkwy
Brooklyn, NY 11214-1572
Phone (718) 333-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255180 | NY | MD | Adult Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Comprehensive Care Center Inc. | Current | Accepting new patients | |
| Allcity Medical, P.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363
343 W 145th St
New York, NY 10031
Phone (212) 444-8877
4290 Broadway
Ste 2S
New York, NY 10033
Phone (212) 781-5075
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1962684159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 BROADWAY STE 2S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333732",
"telephone_number": "212-781-5100",
"fax_number": "212-781-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4290 BROADWAY STE 2S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333732",
"telephone_number": "212-781-5100",
"fax_number": "212-781-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZINOVER",
"first_name": "ALLA",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "255180",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.