Organization Active NPI

C Lefevre Medical PC

  • General Practice Physician
  • New City, NY
National Provider Identifier
1093330649
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
C LEFEVRE MEDICAL PC
Practice address
16 Squadron Blvd
New City, NY 10956-5259
Phone
(561) 307-5558
Fax
(212) 843-5743
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Mr. Wayne Jeffrey Resnick
Title
Physician Liaison
Phone
(561) 307-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16 Squadron Blvd
New City, NY 10956-5259

Mailing address

333 E 49TH St Lbby D
New York, NY 10017-1680
Phone (561) 307-5558

National Provider Directory

National Provider Directory

Locations

286 S Main St
New City, NY 10956
Phone (845) 764-4774

333 E 49th St
Lbby D
New York, NY 10017

46 Route 25A
Ste 6
Setauket, NY 11733
Phone (631) 689-0202

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1093330649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 49TH ST LBBY D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171680",
            "telephone_number": "561-307-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565259",
            "telephone_number": "561-307-5558",
            "fax_number": "212-843-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C LEFEVRE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN LIAISON",
        "authorized_official_telephone_number": "561-307-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.