Organization Active NPI

Lev Aminov, Internal Medicine, PC

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1043321722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199857 Issued in NY
Legal business name
LEV AMINOV, INTERNAL MEDICINE, PC
Practice address
9851 64TH Ave
Ste 1G
Rego Park, NY 11374-2546
Phone
(718) 275-6968
Fax
(718) 275-4506
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lev Aminov, MD
Title
President
Phone
(718) 275-6968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 199857 NY Primary

Addresses

Primary practice location

9851 64TH Ave
Ste 1G
Rego Park, NY 11374-2546

Mailing address

9851 64TH Ave
Ste 1G
Rego Park, NY 11374-2546
Phone (718) 275-6968

Other identifiers 1

IdentifierTypeStateIssuer
01582498MedicaidNY

National Provider Directory

National Provider Directory

Locations

9851 64th Ave
Ste 1G
Rego Park, NY 11374
Phone (718) 275-6968

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043321722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 64TH AVE",
            "address_2": "STE 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742546",
            "telephone_number": "718-275-6968",
            "fax_number": "718-275-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 64TH AVE",
            "address_2": "STE 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742546",
            "telephone_number": "718-275-6968",
            "fax_number": "718-275-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEV AMINOV, INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-275-6968",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01582498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.