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MARYAM BROUKHIM MD PC
NPI 1770814378
Surgery in Great Neck, NY

Active since January 21, 2010
900 NORTHERN BLVD, GREAT NECK, NY 11021(516) 487-3783 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryam Broukhim Md Pc NPPES

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

MARYAM BROUKHIM MD PC (NPI 1770814378) is a healthcare organization registered as a surgery in Great Neck, New York and active in the NPI registry since January 2010. The organization lists Maryam Broukhim, Owner, as its authorized official.

NPPES Registry Identity

NPI1770814378
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMARYAM BROUKHIM MD PC
Location Address900 NORTHERN BLVDGreat Neck, NY 11021
Mailing Address900 Northern BlvdGreat Neck, NY 11021 · (516) 487-3783
Phone(516) 487-3783
Organization SubpartNo
Authorized OfficialMaryam BroukhimOwner · (516) 487-3783
Enumeration DateJanuary 21, 2010
Last NPPES UpdateFebruary 13, 2018
✔ NPI 1770814378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 NORTHERN BLVD, Great Neck, NY 11021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Maryam Broukhim Md Pc 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 Maryam Broukhim MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maryam Broukhim, M.D.
General Surgery
NPI 1558394320
900 NORTHERN BLVD SUITE 250
Great Neck, NY 11021
(516) 487-3783
✔ PECOS✔ Accepts MedicareSame address

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 Maryam Broukhim MD PC's NPI number?

The NPI number for Maryam Broukhim MD PC is 1770814378. It was assigned to this organization in the NPPES registry on January 21, 2010.

Where is Maryam Broukhim MD PC located?

Maryam Broukhim MD PC is located at 900 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 487-3783.

What is Maryam Broukhim MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Maryam Broukhim MD PC enrolled in Medicare?

Yes. Maryam Broukhim MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryam Broukhim MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Maryam Broukhim MD PC. 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 Maryam Broukhim MD PC was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.