DR. MARK BURSHTEYN (NPI# 1619118932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619118932 |
Entity Type | Individual |
Full Name | DR. MARK BURSHTEYN |
Credential | M.D |
Practice Address |
3401 N. Broad Street Philadelphia PA 19140 |
Mailing Address |
41 E Post Rd White Plains NY 10601-4699 |
Practice Telephone | 2157077237 |
Practice Fax Number | 2157079389 |
Mailing Telephone | 9146811273 |
Mailing Fax Number | 9146817908 |
Enumeration Date | 2009-03-17 |
Last Update Date | 2018-08-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA09090500 | NJ | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C1-0010021 | DE | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD443993 | PA | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
291674-1 | NY | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA09090500 | NJ | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD443993 | PA | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
C1-0010021 | DE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 102686716 | 05 | |
DE | 1619118932 | 05 | |
NJ | 0295841 | 05 |
Street Address |
3401 N. BROAD STREET |
City | PHILADELPHIA |
State | PA |
Zip Code | 19140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346236536 | Carol A. Glowacki | Obstetrics & Gynecology | 3401 N. Broad Street, Philadelphia, PA 19140 | 2005-09-22 |
1053957829 | Brian Neubauer | Physician Assistant | 3401 N. Broad Street, 6th Floor, Zone B, Orthopedics, Philadelphia, PA 19140-5103 | 2019-11-26 |
1437447273 | Molly Elise Mulflur | Emergency Medicine | 3401 N. Broad Street, Philadelphia, PA 19140 | 2011-07-14 |
1083911606 | Saundra Hyman | Nurse Practitioner | 3401 N. Broad Street, Philadelphia, PA 19140 | 2011-02-16 |
1205130978 | Jaclyn R Owens | Physician Assistant | 3401 N. Broad Street, Philadelphia, PA 19140 | 2011-01-10 |
1144532144 | Michael Patrick Whalen | Emergency Medicine | 3401 N. Broad Street, Philadelphia, PA 19140 | 2010-07-07 |
1093958993 | Bilal Ahmad | Anesthesiology | 3401 N. Broad Street, Philadelphia, PA 19140 | 2009-04-08 |
1437399227 | Amy Kathleen Lyons | Emergency Medicine | 3401 N. Broad Street, Philadelphia, PA 19140 | 2009-03-06 |
1154572154 | Jyothsna Reddy | Anesthesiology | 3401 N. Broad Street, 3rd Floor Outpatient Bldg, Philadelphia, PA 19140 | 2008-10-08 |
1467602664 | Ellen S. Hauck | Anesthesiology | 3401 N. Broad Street, 3rd Floor Outpatient Bldg, Philadelphia, PA 19140 | 2008-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
Find all providers in zip 19140 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
1144423096 | Jonathan Ira Lieberman | Radiology | 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 | 2007-06-07 |
1336188945 | David R. Hertzog | Radiology | 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 | 2006-06-06 |
1760441760 | James Frederick Mcguckin Jr. | Radiology | 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 | 2006-03-20 |
1588639819 | American Access Care of Sp LLC | Radiology | 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 | 2006-02-21 |
1104816453 | Huynh Doan | Radiology | Broad & Vine St, Philadelphia, PA 19102 | 2005-10-27 |
1174513105 | Mark Hysell | Radiology | Broad & Vine St S, Philadelphia, PA 19102 | 2005-10-21 |
1699774257 | Image Guided Surgery Associates, PC | Radiology | 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 | 2005-07-17 |
1033753405 | Stc Pediatrics LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19140 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.