Individual provider Active NPI

Gary David Alevy, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1346292877
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
147384-1 Issued in NY
Practice address
1623 3Rd Ave
Apt 30K
New York, NY 10128-3638
Phone
(212) 722-5959
NPI assigned
May 16, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 147384-1 NY Primary
Diagnostic Radiology Physician 2085R0202X ME 0057183 FL

Addresses

Primary practice location

1623 3Rd Ave
Apt 30K
New York, NY 10128-3638

Mailing address

1623 3Rd Ave
Apt 30K
New York, NY 10128-3638
Phone (212) 722-5959

Other identifiers 1

IdentifierTypeStateIssuer
01207496MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0057183FLMDDiagnostic Radiology Physician
147384-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1346292877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 3RD AVE",
            "address_2": "APT 30K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283638",
            "telephone_number": "212-722-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 3RD AVE",
            "address_2": "APT 30K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283638",
            "telephone_number": "212-722-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEVY",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "147384-1",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 0057183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01207496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.