LONDON MEDICAL DIAGNOSTIC PC
NPI 1407002702
Internal Medicine in Forest Hills, NY

Q: What is London Medical Diagnostic PC's NPI number?

The NPI number for London Medical Diagnostic PC is 1407002702. It was assigned to this organization in the NPPES registry on August 18, 2008.

Q: What is London Medical Diagnostic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 18, 2008CLIA 33D1028107 · Waiver

10525 64TH AVE, FOREST HILLS, NY 11375(718) 459-3494(718) 606-6069 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2023, Apr 27, 2022 (2 updates tracked since 2022).

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About London Medical Diagnostic Pc NPPES

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

LONDON MEDICAL DIAGNOSTIC PC (NPI 1407002702) is a healthcare organization registered as an internal medicine in Forest Hills, New York and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 19, 2028, maintains a secondary practice location in Brooklyn, and lists Ilya Y Burshteyn, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1407002702

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLONDON MEDICAL DIAGNOSTIC PC

Location Address10525 64TH AVEForest Hills, NY 11375-1640

Mailing Address10525 64th AveForest Hills, NY 11375-1640 · (718) 459-3494 · Fax (718) 606-6069

Phone(718) 459-3494

Fax(718) 606-6069

Organization SubpartNo

Authorized OfficialIlya Y BurshteynMd/ceo · (718) 459-3494

Enumeration DateAugust 18, 2008

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1407002702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSpecialistTaxonomy 174400000X · License 215638 (NY)

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

10525 64TH AVE, Forest Hills, NY 11375

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Secondary Practice Location 1

Location 11401 Ocean Ave Ste LDBrooklyn, NY 11230-3998 · Phone (718) 513-4455 · Fax (718) 375-1944

Other Identifiers 1

Medicaid03272777NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

London Medical Diagnostic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to London Medical Diagnostic PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ilya Burshteyn, MD

Internal Medicine

NPI 1073546131

10525 64TH AVE
Forest Hills, NY 11375

(718) 459-3494

✔ PECOS✔ Accepts MedicareSame address

David Nupp, PT

Physical Therapist in Private Practice

NPI 1548255789

4562 BELL BLVD
Bayside, NY 11361

(718) 281-2861

✔ Accepts Medicare4.7 mi

Sabine Larosiliere, DPM

Podiatry

NPI 1215964606

2015 GRAND CONCOURSE
Bronx, NY 10453

(718) 618-0401

✔ PECOS✔ Accepts Medicare8.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1028107

London Medical Diagnostic PC · Forest Hills, NY

Active · expires Jul 19, 2028

CLIA Number33D1028107

Laboratory TypePhysician Office

Certificate Effective DateJuly 20, 2026

Certificate Expiration DateJuly 19, 2028

Laboratory DirectorIlya Y. Burshteyn

Laboratory Phone(718) 459-3494

Laboratory LocationLondon Medical Diagnostic PC105-25 64th Ave, Forest Hills, NY 11375

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 London Medical Diagnostic PC's NPI number?

The NPI number for London Medical Diagnostic PC is 1407002702. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is London Medical Diagnostic PC located?

London Medical Diagnostic PC is located at 10525 64th Ave, Forest Hills, NY 11375. The listed phone number is (718) 459-3494.

What is London Medical Diagnostic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is London Medical Diagnostic PC enrolled in Medicare?

Yes. London Medical Diagnostic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through London Medical Diagnostic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to London Medical Diagnostic PC, in Internal Medicine, Physical Therapist in Private Practice and Podiatry. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does London Medical Diagnostic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1028107) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for London Medical Diagnostic PC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.