Individual provider Active NPI

Larisa Veksman, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003843061
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22338-1 Issued in NY
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

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02255787MedicaidNY
270067821OtherNY1199NBF
0102248OtherNYAMERICHOICE
5558DOtherNYEMPIRE BCBSH
7888447OtherNYAETNA PPO
270067821OtherNYMAGNACARE
9400588OtherNYPHCS
3C5041OtherNYHEALTHNET
8990102OtherNYCIGNA
P3245014OtherNYOXFORD
2373089OtherNYUNATED HEALTH CARE
270067821OtherNYMULTIPLAN
214676POtherNYHIP
5996861OtherNYGHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001114 NY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2466355169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative 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

LicenseStateTypeSpecialty
22338-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring of Health Medical PC Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Great City Medical PC PastSince Oct 31, 2017 Accepting new patients
Galaxy Medical PC Family Medicine PastSince May 1, 2013 Accepting new patients
Larisa Veksman D.O P.C PastSince Feb 9, 2004 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.

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

Verify at the official NPI Registry.