Organization Active NPI

Yakov Levy MD PC

  • Obstetrics Physician
  • Forest Hills, NY
National Provider Identifier
1124204490
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
226066 Issued in NY
Legal business name
YAKOV LEVY MD PC
Practice address
70-31A 108TH Street
Suite 4
Forest Hills, NY 11375-0000
Phone
(718) 520-8700
Fax
(718) 520-8050
NPI assigned
Jan 16, 2008
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Dr. Yakov Levy, MDNPI 1154481885
Title
Physician
Phone
(718) 520-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 226066 NY Primary

Addresses

Primary practice location

70-31A 108TH Street
Suite 4
Forest Hills, NY 11375-0000

Mailing address

6561 Saunders St
Suite 2B
Rego Park, NY 11374-4252
Phone (718) 416-4389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000375 NY Part B Supplier - Clinic/Group Practice 9335038751 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2030615Yakov Levy MD, PC70-31A 108TH St, # 4, Forest Hills, NY 11375Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

6561 Saunders St
Rego Park, NY 11374

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1124204490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 SAUNDERS ST",
            "address_2": "SUITE 2B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744252",
            "telephone_number": "718-416-4389",
            "fax_number": "718-416-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-31A 108TH STREET",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750000",
            "telephone_number": "718-520-8700",
            "fax_number": "718-520-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKOV LEVY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-520-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "226066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.