Individual provider Active NPI

Javier P Burgos, D.O.

  • Infectious Disease Physician
  • Flushing, NY
National Provider Identifier
1982896510
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
234448 Issued in NY
Practice address
4373 Union St
Suite CB
Flushing, NY 11355-3045
Phone
(718) 886-3877
Fax
(718) 886-3995
NPI assigned
Aug 17, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 234448 NY Primary

Addresses

Primary practice location

4373 Union St
Suite CB
Flushing, NY 11355-3045

Mailing address

6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone (718) 945-7150

Other identifiers 1

IdentifierTypeStateIssuer
03333337MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000312 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 2961592654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 945-7150

506 6TH St
Brooklyn, NY 11215-3609
Phone (917) 382-7580

5645 Main St
Flushing, NY 11355-5045
Phone (917) 382-7580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Mar 29, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Mar 29, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Ny Service for Infectious Diseases, Medical P.C. CurrentSince Apr 15, 2011 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients

Locations

6200 Beach Channel Dr
Arverne, NY 11692

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

460 13th St
Brooklyn, NY 11215
Phone (718) 369-3555

4373 Union St
Ste Cb
Flushing, NY 11355
Phone (718) 883-3877

11439 Sutphin Blvd
Jamaica, NY 11434

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: javier.burgos@jpafhc.eclinicaldirectplus.com
  • Direct secure messaging: jpb9003@direct.nyp.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1982896510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 UNION ST",
            "address_2": "SUITE CB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553045",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JAVIER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "234448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03333337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.