Individual provider Active NPI

Lee Eban Hindin, MD

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1194804153
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA04045300 Issued in NJ
Practice address
1133 Westchester Ave Ste N-006
White Plains, NY 10604-3550
Phone
(914) 539-7600
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA04045300 NJ Primary

Addresses

Primary practice location

1133 Westchester Ave Ste N-006
White Plains, NY 10604-3550

Mailing address

10 Bank St Ste 830
White Plains, NY 10606-1952
Phone (914) 435-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090403000281 NJ Practitioner - PsychiatryPractitioner - Addiction Medicine 3072660265 Reassigns benefits to 1 organization
I20230120000359 PA Practitioner - Psychiatry 3072660265 Reassigns benefits to 1 organization
I20231005000325 NY Practitioner - Psychiatry 3072660265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forge Medical Group, LLCGroup PAC ID 5597163949, shared by 3 NPIs, 35 clinicians

Practice addresses (Care Compare)

1133 Westchester Ave
Suite N 006
White Plains, NY 10604-3550
Phone (914) 539-7600

1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700

40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04045300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC Psychiatry CurrentSince Mar 18, 2021 Accepting new patients
Forge Medical Group, LLC Psychiatry CurrentSince Aug 1, 2021 Accepting new patients
Forge Medical Group, LLC Psychiatry CurrentSince Dec 5, 2022 Accepting new patients
Forge Medical Group, LLC Psychiatry Past Accepting new patients
Forge Medical Group, LLC Psychiatry Past Accepting new patients
Forge Medical Group, LLC Psychiatry Past Accepting new patients
North Jersey Counseling Services, LLC Dba Strive Health LLC Past Accepting new patients
Forge Medical Group, LLC Psychiatry Past Accepting new patients
Forge Medical Group, LLC Psychiatry Past Accepting new patients

Locations

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700

1133 Westchester Ave
Ste N-006
White Plains, NY 10604
Phone (914) 539-7600

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1194804153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BANK ST STE 830",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061952",
            "telephone_number": "914-435-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WESTCHESTER AVE STE N-006",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043550",
            "telephone_number": "914-539-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDIN",
        "first_name": "LEE",
        "middle_name": "EBAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04045300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.