DR. MARK BURSHTEYN


Address: 3401 N. Broad Street, Philadelphia, PA 19140
Phone: 2157077237

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 102686716 05
DE 1619118932 05
NJ 0295841 05

Office Location

Street Address 3401 N. BROAD STREET
City PHILADELPHIA
State PA
Zip Code 19140

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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