Maryam Broukhim MD PC
NPI 1770814378ActiveOrganization· Surgery· Great Neck, NY
Surgery in Great Neck, New York, registered in NPPES in January 2010. The authorized official on file is Maryam Broukhim, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770814378 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2010 |
| Last updated in NPPES | Feb 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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