Active NPI
Yevgeny Litvak Medical PLLC
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1306897616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yevgeny Litvak
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1871513432
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.