DR. MARYAM BROUKHIM M.D. NPI 1558394320

NPI Information

  • NPI: 1558394320
  • Provider Name: DR. MARYAM BROUKHIM, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 NORTHERN BLVD
    SUITE 250
    GREAT NECK, NY
    ZIP 11021
  • Phone: (516) 487-3783

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NPI Details

DR. Maryam Broukhim, M.D. is a specialist in Great Neck, NY with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Maryam Broukhim, M.D. NPI is 1558394320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1989

The provider's business location address is:

900 NORTHERN BLVD
SUITE 250
GREAT NECK, NY
ZIP 11021-302
Phone: (516) 487-3783
Fax: (516) 487-1392

The NPI 1558394320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, lidocaine hcl for intravenous infusion, 10 mg (HCPCS:J2001)
  • Drainage of fluid collection in soft tissue using imaging guidance (HCPCS:10030)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Drainage of abscess of breast (HCPCS:19020)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 1/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist196144NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101573660MEDICAIDNEW YORK
203840AOTHERNEW YORKGHI MEDICARE
3161221MEDICARE PINNEW YORK
4F48893MEDICARE UPINNEW YORK
5161221MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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