Individual provider Active NPI

Alon Ari Leibovitz, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1215195896
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
249500 Issued in NY
Practice address
10 Union SQ E Ste 2J
New York, NY 10003-3314
Phone
(212) 844-8300
Fax
(212) 844-8338
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 249500 NY Primary

Addresses

Primary practice location

10 Union SQ E Ste 2J
New York, NY 10003-3314

Mailing address

10 Union SQ E Ste 2J
New York, NY 10003-3314
Phone (212) 844-8300

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
I20081208000524 NY Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4880755974 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249500NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Nov 1, 2014 Accepting new patients
Fpa Hospital Based CurrentSince Nov 1, 2014 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

10 Union Sq E
Ste 2J
New York, NY 10003
Phone (212) 420-2381

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

10 Union Sq E
Ste 2H
New York, NY 10003
Phone (212) 844-8300

10 Union Sq E
Frnt 5M
New York, NY 10003

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Networks

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

Organizations & group practices 4

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1215195896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E STE 2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8300",
            "fax_number": "212-844-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E STE 2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8300",
            "fax_number": "212-844-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOVITZ",
        "first_name": "ALON",
        "middle_name": "ARI",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.