Healthcare Provider Details

I. General information

NPI: 1568305746
Provider Name (Legal Business Name): JEM NYC CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900B RALPH AVE
BROOKLYN NY
11234-5302
US

IV. Provider business mailing address

1900B RALPH AVE
BROOKLYN NY
11234-5302
US

V. Phone/Fax

Practice location:
  • Phone: 718-251-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BOBBY BORUKHOV
Title or Position: SOLE MEMBER
Credential:
Phone: 718-251-1400