Active NPI
Lev D Kandinov, MD
- Obstetrics & Gynecology Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME115451
- Practice address
- 2627 NE 203Rd St
Suite 115
Aventura, FL 33180-1900 - Phone
- (305) 931-8844
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 234811 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 25MA07862100 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | ME115451 | FL | Primary |
Addresses
Primary practice location
2627 NE 203Rd St
Suite 115
Aventura, FL 33180-1900
Mailing address
2627 NE 203Rd St
Suite 115
Aventura, FL 33180-1900
Phone (305) 931-8844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02684664 | Medicaid | NY | |
| 140109 | Other | NJ | MEDICARE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140521002548 | FL | Practitioner - Obstetrics/Gynecology | 6901837202 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitalmd Group Holding LLC
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
Hospital & facility affiliations
- Memorial Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115451 | FL | MD | Obstetrics & Gynecology Physician |
| 25MA07862100 | NJ | MD | Obstetrics & Gynecology Physician |
| 234811 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Meadowlands Physicians Professional Association | Past | Accepting new patients | |
| Holy Name Pulmonary Associates, PC | Past | Accepting new patients |
Locations
800 SE 4th Ave
Ste 502
Hallandale Beach, FL 33009
Phone (305) 931-8844
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
Interoperability endpoints
- lev.kandinov@toplinemd.eclinicaldirectplus.com
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
FL, Obstetrics & Gynecology
-
- Pulmonary Disease Physician
- Teaneck, NJ
- NPI 1144484866
-
- General Practice Physician
- Secaucus, NJ
- NPI 1669728283
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1235192543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 NE 203RD ST",
"address_2": "SUITE 115",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801900",
"telephone_number": "305-931-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 NE 203RD ST",
"address_2": "SUITE 115",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801900",
"telephone_number": "305-931-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDINOV",
"first_name": "LEV",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "234811",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA07862100",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME115451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02684664",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "140109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.