Individual provider Active NPI

Gilbert S Lederman, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1346282571
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
169946 Issued in NY
Practice address
1384 Broadway
New York, NY 10018-6108
Phone
(212) 246-4237
Fax
(212) 813-3456
NPI assigned
Jun 12, 2006
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 169946 NY Primary

Addresses

Primary practice location

1384 Broadway
New York, NY 10018-6108

Mailing address

PO Box 11649
Newark, NJ 07101-4649
Phone (732) 307-7062

Other identifiers 1

IdentifierTypeStateIssuer
1027458MedicaidNY

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
I20040715000602 NY Practitioner - Radiation Oncology 0143209908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 1978
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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169946NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Lederman MD PC Radiation Oncology CurrentSince Jul 31, 2006 Accepting new patients
Warwick Street Medical PC PastSince Mar 7, 2011 Accepting new patients
Radiosurgery America PC Radiation Oncology Past Accepting new patients

Locations

227 E 19th St
New York, NY 10003
Phone (212) 995-6000

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

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1346282571",
    "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": "732-307-7062",
            "fax_number": "732-387-2629"
        },
        {
            "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": "GILBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "169946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.