Active NPI
Larisa Veksman, MD
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1003843061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22338-1
- Practice address
- 162 Brighton 11Street
1St Floor
Brooklyn, NY 11235 - Phone
- (212) 686-6700
- Fax
- (646) 349-2066
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22338-1 | NY | Primary |
Addresses
Primary practice location
162 Brighton 11Street
1St Floor
Brooklyn, NY 11235
Mailing address
162 Brighton 11TH St
Brooklyn, NY 11235-5327
Phone (718) 891-8822
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02255787 | Medicaid | NY | |
| 270067821 | Other | NY | 1199NBF |
| 0102248 | Other | NY | AMERICHOICE |
| 5558D | Other | NY | EMPIRE BCBSH |
| 7888447 | Other | NY | AETNA PPO |
| 270067821 | Other | NY | MAGNACARE |
| 9400588 | Other | NY | PHCS |
| 3C5041 | Other | NY | HEALTHNET |
| 8990102 | Other | NY | CIGNA |
| P3245014 | Other | NY | OXFORD |
| 2373089 | Other | NY | UNATED HEALTH CARE |
| 270067821 | Other | NY | MULTIPLAN |
| 214676P | Other | NY | HIP |
| 5996861 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
162 Brighton 11TH St
Suite 1
Brooklyn, NY 11235-5327
Phone (718) 891-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22338-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring of Health Medical PC | Family Medicine | Current | Accepting new patients |
| Great City Medical PC | Past | Accepting new patients | |
| Galaxy Medical PC | Family Medicine | Past | Accepting new patients |
| Larisa Veksman D.O P.C | Past | Accepting new patients |
Locations
162 Brighton 11th St
#1
Brooklyn, NY 11235
Phone (718) 891-8822
162 Brighton 11th St
Brooklyn, NY 11235
Phone (718) 891-8822
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1134624224
-
- Specialist
- Brooklyn, NY
- NPI 1942465091
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1952789273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1003843061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BRIGHTON 11TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355327",
"telephone_number": "718-891-8822",
"fax_number": "646-349-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BRIGHTON 11STREET",
"address_2": "1ST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "212-686-6700",
"fax_number": "646-349-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEKSMAN",
"first_name": "LARISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "22338-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02255787",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199NBF",
"identifier": "270067821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0102248",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBSH",
"identifier": "5558D",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7888447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "270067821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9400588",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C5041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8990102",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3245014",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNATED HEALTH CARE",
"identifier": "2373089",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "270067821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "214676P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5996861",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.