Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roosevelt Boursiquot, MD, MPHIL

Individual provider Hospitalist Physician · NPI 1013399872

Dr. Roosevelt Boursiquot, MD, MPHIL is a Hospitalist in Brooklyn, New York. Qualified in 2015, 11 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
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

470 Clarkson Ave MSC#59
Brooklyn, NY 11203
Phone: (718) 270-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-1653

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 287069 (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 287069 (NY)

Record details

NPI number1013399872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPHIL
Sole proprietorYes
NPI enumeratedJune 29, 2015
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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