Individual provider Active NPI

Ariel Joseph Lederman, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1285052944
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
281155-1 Issued in NY
Practice address
1384 Broadway
New York, NY 10018-6108
Phone
(212) 246-4237
Fax
(212) 813-3456
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 281155-1 NY Primary

Addresses

Primary practice location

1384 Broadway
New York, NY 10018-6108

Mailing address

PO Box 11649
Newark, NJ 07101-4649
Phone (212) 246-4237

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
I20190729001011 NY Practitioner - Radiation Oncology 7012243041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilbert Lederman MD PCGroup PAC ID 2365333861, 3 clinicians

Practice addresses (Care Compare)

1384 Broadway
New York, NY 10018-6108
Phone (212) 246-4237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281155-1NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Lederman MD PC Radiation Oncology CurrentSince Jun 17, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Radiation Oncology CurrentSince Aug 12, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Warwick Street Medical PC PastSince Jun 17, 2019 Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1384 Broadway
New York, NY 10018
Phone (212) 246-4237

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • 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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1285052944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11649",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014649",
            "telephone_number": "212-246-4237",
            "fax_number": "212-813-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186108",
            "telephone_number": "212-246-4237",
            "fax_number": "212-813-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "ARIEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "281155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.