BORUKHOV RADIOLOGY PLLC
NPI 1003389347
Clinic/Center - Radiology in Briarwood, NY

Active since January 09, 2019
13821 QUEENS BLVD, BRIARWOOD, NY 11435(718) 480-1250(718) 480-6720 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2021, Jan 28, 2021, Nov 11, 2020 and 1 more (4 updates tracked since 2019).

About Borukhov Radiology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BORUKHOV RADIOLOGY PLLC (NPI 1003389347) is a healthcare organization registered as a radiology in Briarwood, New York and active in the NPI registry since January 2019. The organization lists David Borukhov, Md, as its authorized official.

NPPES Registry Identity

NPI1003389347
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBORUKHOV RADIOLOGY PLLC
Location Address13821 QUEENS BLVDBriarwood, NY 11435-2641
Mailing Address13821 Queens BlvdBriarwood, NY 11435-2641 · (718) 480-1250 · Fax (718) 480-6720
Fax(718) 480-6720
Organization SubpartNo
Authorized OfficialDavid BorukhovMd · (718) 480-1250
Enumeration DateJanuary 9, 2019
Last NPPES UpdateFebruary 2, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1003389347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
13821 QUEENS BLVD, Briarwood, NY 11435

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Borukhov Radiology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Borukhov Radiology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1902105190
300 COMMUNITY DR
Manhasset, NY 11030
(646) 201-6433
✔ PECOS7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Borukhov Radiology PLLC's NPI number?

The NPI number for Borukhov Radiology PLLC is 1003389347. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Borukhov Radiology PLLC located?

Borukhov Radiology PLLC is located at 13821 Queens Blvd, Briarwood, NY 11435. The listed phone number is (718) 480-1250.

What is Borukhov Radiology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Borukhov Radiology PLLC enrolled in Medicare?

Yes. Borukhov Radiology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Borukhov Radiology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Borukhov Radiology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Borukhov Radiology PLLC was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.