NPIMap

Organization Active NPI

Lwhmedical PC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1184968232
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
252168-1 Issued in NY
Legal business name
LWHMEDICAL PC
Practice address
1811 Hone Ave
Bronx, NY 10461-1406
Phone
(718) 518-1133
Fax
(718) 518-1244
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Larisa Shpitalnik, MDNPI 1689839979
Title
Owner
Phone
(718) 518-1133

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 252168-1 NY Primary

Addresses

Primary practice location

1811 Hone Ave
Bronx, NY 10461-1406

Mailing address

1811 Hone Ave
Bronx, NY 10461-1406
Phone (718) 518-1133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000037 NY Part B Supplier - Clinic/Group Practice 0941455976 Receives reassigned benefits from 32 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

122 Clinton St
Hoboken, NJ 07030
Phone (201) 418-1415

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1184968232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611406",
            "telephone_number": "718-518-1133",
            "fax_number": "718-518-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611406",
            "telephone_number": "718-518-1133",
            "fax_number": "718-518-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWHMEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SHPITALNIK",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-518-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "252168-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.