Organization Active NPI

Yevgeny Litvak Medical PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1306897616
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
199897
Legal business name
YEVGENY LITVAK MEDICAL PLLC
Practice address
1460 W 5TH St
Brooklyn, NY 11204-4071
Phone
(718) 234-2233
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Yevgeny LitvakNPI 1871513432
Title
President
Phone
(718) 743-7090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 199897 Primary

Addresses

Primary practice location

1460 W 5TH St
Brooklyn, NY 11204-4071

Mailing address

1460 W 5TH St
Brooklyn, NY 11204-4071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000432 NY Part B Supplier - Clinic/Group Practice 7911045364 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1460 W 5th St
Brooklyn, NY 11204
Phone (718) 234-2233

7 Lexington Ave
New York, NY 10010
Phone (212) 427-8806

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1306897616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-234-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENY LITVAK MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "LITVAK",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-743-7090"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": "199897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.