Individual provider Active NPI

Ivan Lebovits, M.D

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1255464715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151050 Issued in NY
Practice address
5601 13TH Ave
Brooklyn, NY 11219-4520
Phone
(718) 436-7447
Fax
(718) 436-1247
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151050 NY Primary

Addresses

Primary practice location

5601 13TH Ave
Brooklyn, NY 11219-4520

Mailing address

5601 13TH Ave
Brooklyn, NY 11219-4520
Phone (718) 436-7447

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
I20080520000761 NY Practitioner - Internal Medicine 8628147352 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151050NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York Medical & Diagnostic Center Inc Internal Medicine CurrentSince Feb 22, 2017 Accepting new patients
Suny Downstate Medical Center PastSince Sep 1, 2017 Accepting new patients

Locations

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

Interoperability endpoints

  • Direct secure messaging: ivanlebovits@mai.allscriptsdirect.net

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255464715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194520",
            "telephone_number": "718-436-7447",
            "fax_number": "718-436-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194520",
            "telephone_number": "718-436-7447",
            "fax_number": "718-436-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITS",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.