Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Boback M Berookhim, MD

Individual provider Urology Physician · NPI 1639330160

Dr. Boback M Berookhim, MD is an Urology in New York, New York. Graduated from Boston University School of Medicine in 2007, 19 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
Boston University School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

186 E 76th St Fl 1
New York, NY 10021-2822
Phone: (212) 434-4650
Fax: (212) 434-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 253004 (NY)

Record details

NPI number1639330160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESJuly 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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