Mark Burshteyn (NPI# 1619118932, PAC ID# 8628238219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1619118932 |
| PAC ID by PECOS | 8628238219 |
| Professional Enrollment ID | I20120618000433 |
| Full Name | Mark Burshteyn |
| Organization Legal Name | MONTCLAIR RADIOLOGICAL ASSOC PA |
| Address |
20 High St Nutley NJ 07110-1132 |
| Phone Number | 9732841881 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 3274507447 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330304 | WHITE PLAINS HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20 High St, Nutley, NJ 07110-1132 | 9732841881 | MONTCLAIR RADIOLOGICAL ASSOC PA |
| 2 Longview Ave, Fl 3, White Plains, NY 10601-5000 | 9146842779 | WHITE PLAINS HOSPITAL MEDICAL CENTER |
| 41 E Post Rd, White Plains, NY 10601-4607 | 9149481000 | WHITE PLAINS HOSPITAL MEDICAL CENTER |
| Organization Legal Name | MONTCLAIR RADIOLOGICAL ASSOC PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mala Shah | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Denise C Mcfadden | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Patrick Hines | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Sue Y Kim | Diagnostic Radiology | Montclair Radiological Assoc Pa | 1140 Bloomfield Ave, West Caldwell, NJ 07006-7130 |
| Anuj J Tolia | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Lisa T Bash | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Nicole L Lacz | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Konstantin Krepkin | Diagnostic Radiology | Montclair Radiological Assoc Pa | 1140 Bloomfield Ave, West Caldwell, NJ 07006-7130 |
| Brett D Ferdinand | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Ross T Mondshine | Diagnostic Radiology | Montclair Radiological Assoc Pa | 116 Park St, Montclair, NJ 07042-2930 |
| Street Address |
20 HIGH ST |
| City | NUTLEY |
| State | NJ |
| Zip | 07110-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth M Montini | Diagnostic Radiology | Montclair Radiological Assoc Pa | 20 High St, Nutley, NJ 07110-1132 |
| George S Hyatt | Clinical Social Worker | 20 High St, Suite 119, Hamilton, OH 45011-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John N Longo | Chiropractic | 715 Bloomfield Ave, Nutley, NJ 07110-1021 | |
| Daniel P Longo | Chiropractic | 715 Bloomfield Ave, Nutley, NJ 07110-1021 | |
| Gina M Unger | Clinical Social Worker | Burke and Unger Lifeworks Counseling LLC | 562 Kingsland St, Nutley, NJ 07110-1069 |
| Robert W Ciocco | Podiatry | 25 High St, Nutley, NJ 07110-1131 | |
| Danielle Thomson | Physical Therapy | High Street Rehab, LLC | 25 High St, Nutley, NJ 07110-1131 |
| Steven G Clarke | Chiropractic | High Street Rehab, LLC | 25 High St, Nutley, NJ 07110-1131 |
| Sheldon Shterengarts | Physical Therapy | High Street Rehab, LLC | 25 High St, Nutley, NJ 07110-1131 |
| Melissa Weintrob Groman | Clinical Social Worker | Melissa Groman, Lcsw and Therapy Associates LLC | 661 Franklin Ave, Nutley, NJ 07110-1209 |
| Michael Raymond Gentile | Internal Medicine | 655 Franklin Ave, Nutley, NJ 07110-1209 | |
| Ligaya Q Prystowsky | Ophthalmology | 665 Franklin Ave, Nutley, NJ 07110-1209 | |
| Find all physicians in zip 07110 | |||
| City | NUTLEY |
| Zip Code | 07110 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NUTLEY + DIAGNOSTIC RADIOLOGY |
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| 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.