Roosevelt Boursiquot (NPI# 1013399872, PAC ID# 6406101104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013399872 |
| PAC ID by PECOS | 6406101104 |
| Professional Enrollment ID | I20180621000183 |
| Full Name | Roosevelt Boursiquot |
| Organization Legal Name | STATE OF NEW YORK COMPTROLLERS OFFICE |
| Address |
840 Lefferts Ave Brooklyn NY 11203-1301 |
| Phone Number | 7184930300 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 0840101770 |
| Number of Group Practice Members | 190 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330350 | SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN |
| 330024 | MOUNT SINAI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 840 Lefferts Ave, Brooklyn, NY 11203-1301 | 7184930300 | STATE OF NEW YORK COMPTROLLERS OFFICE |
| 1 Gustave L Levy Place, New York, NY 10029-6500 | 2126598551 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Organization Legal Name | STATE OF NEW YORK COMPTROLLERS OFFICE |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayana Ward | Obstetrics/gynecology | State of New York Comptrollers Office | 445 Lenox Rd, Brooklyn, NY 11203-2017 |
| Christine G Gerber | Qualified Speech Language Pathologist | State of New York Comptrollers Office | 280 Central Ave W123 Thompson Hall, Fredonia, NY 14063-1127 |
| Snehalata Topgi | Emergency Medicine | State of New York Comptrollers Office | 470 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Jessica H Little | Psychologist, Clinical | State of New York Comptrollers Office | Route 9w, West Haverstraw, NY 10993-1127 |
| Kakin Robert Iong | Internal Medicine | State of New York Comptrollers Office | 148 Pierrepont St, Brooklyn, NY 11201-2713 |
| Frank A Cervo | Internal Medicine | State of New York Comptrollers Office | 100 Patriots Rd, Stony Brook, NY 11790-3318 |
| Evan N Kaplan | Optometry | State of New York Comptrollers Office | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Daniel Beegan | Family Medicine | State of New York Comptrollers Office | 445 Lenox Rd, Brooklyn, NY 11203-2017 |
| Matthew Bovenzi | Optometry | State of New York Comptrollers Office | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Tamara Viktory Petrosyan | Optometry | State of New York Comptrollers Office | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Street Address |
840 LEFFERTS AVE |
| City | BROOKLYN |
| State | NY |
| Zip | 11203-1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Willis | Emergency Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Orlando Sola | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Richard Sadovsky | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| John F Renz | General Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Henry Talus | Colorectal Surgery (proctology) | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Bonnie Arquilla | Emergency Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Kaycie Cobb | Internal Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Robert S Poston | Cardiac Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Mark H Krotowski | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Sumanth Channapatna-suresh | General Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milroy Fleary | Internal Medicine | 86 E 49th St, Brooklyn, NY 11203 | |
| Kaiser U Islam | Pediatric Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Brian K Mcneil | Urology | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Otis Jones | General Practice | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Marcia Edmond Bucknor | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Ernest Garnier | Internal Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Llewellyn Hyacinthe | Urology | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Anthony Boutin | Emergency Medicine | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Kwang N Choi | Radiation Oncology | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Sanford Herman | Psychiatry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Find all physicians in zip 11203 | |||
| City | BROOKLYN |
| Zip Code | 11203 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROOKLYN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Roosevelt Boursiquot.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.