Individual provider Active NPI

Lennart C Belok, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1215027412
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
120794 Issued in NY
Practice address
410 E 20TH St
New York, NY 10009-8112
Phone
(212) 265-9716
Fax
(212) 477-6533
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 120794 NY Primary

Addresses

Primary practice location

410 E 20TH St
New York, NY 10009-8112

Mailing address

410 E 20TH St
New York, NY 10009-8112
Phone (212) 265-9716

Other identifiers 8

IdentifierTypeStateIssuer
0040473OtherNYGHI
80141OtherNYHEALTH FIRST
08A701OtherNYEMPIRE BLUECR/BLUESHIELD
00499270MedicaidNY
120794OtherNYOXFORD
120794OtherNYHIP OF NY
90540OtherNYAETNA US HEALTH CARE
120794OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000331 NY Practitioner - Neurology 2163611658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
14 Street Medical PCGroup PAC ID 6204122088, 16 clinicians
Medalliance Medical Health Services IncGroup PAC ID 4789633678, 19 clinicians

Practice addresses (Care Compare)

332 E 14TH St
New York, NY 10003-4243
Phone (212) 481-3333

500 E 14TH St
FL 1
New York, NY 10009-3336
Phone (212) 481-3333

625 E Fordham Rd
Bronx, NY 10458-5049
Phone (718) 933-1900

912 Columbus Ave
New York, NY 10025-4040
Phone (212) 481-3333

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as group
Quality
59.43
Improvement activities
40
Cost
72.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120794NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
14 Street Medical, PC Neurology CurrentSince May 1, 2022 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Aug 31, 2023 Accepting new patients
Ozone Park Medical Diagnostic Assoc. PC Neurology Past Accepting new patients

Locations

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

625 E Fordham Rd
#3
Bronx, NY 10458

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

912 Columbus Ave
New York, NY 10025
Phone (212) 481-3333

5041 Broadway
Ofc 2
New York, NY 10034
Phone (646) 869-2144

500 E 14th St
New York, NY 10009
Phone (212) 481-3333

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lennart.belok.1@13555.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1215027412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E 20TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098112",
            "telephone_number": "212-265-9716",
            "fax_number": "212-477-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E 20TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098112",
            "telephone_number": "212-265-9716",
            "fax_number": "212-477-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOK",
        "first_name": "LENNART",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "120794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0040473",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "80141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECR/BLUESHIELD",
            "identifier": "08A701",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00499270",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "120794",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP OF NY",
            "identifier": "120794",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH CARE",
            "identifier": "90540",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "120794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.