Active NPI
C Lefevre Medical PC
- General Practice Physician
- New City, NY
National Provider Identifier
1093330649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.