Lebgutt Medical of Brooklyn PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

157526-1 Issued in NY

Legal business name

LEBGUTT MEDICAL OF BROOKLYN PC

Practice address

2555 Nostrand Ave
Brooklyn, NY 11210-4730

Phone

(718) 951-8800

Fax

(718) 951-0846

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

George Giannikas

Title

Owner

Phone

(718) 951-8800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1184070625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104730",
            "telephone_number": "718-951-8800",
            "fax_number": "718-951-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104730",
            "telephone_number": "718-951-8800",
            "fax_number": "718-951-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBGUTT MEDICAL OF BROOKLYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "GIANNIKAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-951-8800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "157526-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "157526-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Lebel, M.S.
• Leah Lebel
• Dresilla Jessica Leben, OTR/L
• Ivette C. Lebenberg, PH.D.
• Mark J Leber, MD
• Lebgutt OT PC
• Allyse Leblanc
• Cecile Marie Leblanc
• Jessica Leblanc, LPN
• Patrick Elie Leblanc, MD

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.