OrganizationActive
Boris Itskovich, MD
NPI 1164864369 · Primary Care Clinic/Center · Brooklyn, NY
Boris Itskovich, MD is a Primary Care Clinic/Center organization in Brooklyn, NY (NPI 1164864369).
Provider details
- NPI number
- 1164864369
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boris Itskovich, President(718) 373-0777
- License
- 207492 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3009 Ocean Pkwy
Brooklyn, NY 11235-8302
Phone: (718) 373-0777
Fax: (718) 373-8454
Street-level locationGet directions
Mailing address
3009 Ocean Pkwy
Brooklyn, NY 11235-8302
Registry dates
- Enumerated
- 2013-07-29
- Last updated
- 2013-07-29
Frequently asked questions
- What is Boris Itskovich, MD's NPI number?
- Boris Itskovich, MD's National Provider Identifier (NPI) is 1164864369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boris Itskovich, MD?
- Boris Itskovich, MD is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boris Itskovich, MD located?
- Boris Itskovich, MD's practice location on file with NPPES is 3009 Ocean Pkwy, Brooklyn, NY 11235-8302.
- What is Boris Itskovich, MD's phone number?
- The practice phone number listed in the NPPES registry for Boris Itskovich, MD is (718) 373-0777.
- Who is the authorized official for Boris Itskovich, MD?
- The authorized official listed on Boris Itskovich, MD's NPPES record is Boris Itskovich, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boris Itskovich, MD's NPI active?
- Yes — Boris Itskovich, MD's NPI (1164864369) is active in the NPPES registry as of the last update on 2013-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.