Individual provider Active NPI

Michael Lavianlivi

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1356460737
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
138 Division Ave
Brooklyn, NY 11211-7117
Phone
(718) 387-2408
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

138 Division Ave
Brooklyn, NY 11211-7117

Mailing address

1121 58TH St
Brooklyn, NY 11219-4526

Other practice location 1

4424-4426 18th Ave
Brooklyn, NY 11204
Phone (718) 854-0001

Other practice location 2

4426 18th Ave
Brooklyn, NY 11204-1201
Phone (718) 854-0001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001526 NY Practitioner - Physician Assistant 2365689742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perfect Health Medical LLCGroup PAC ID 0547666919, 12 clinicians

Practice addresses (Care Compare)

4426 18TH Ave
Brooklyn, NY 11204-1201
Phone (212) 734-6621

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score
23.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1356460737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DIVISION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117117",
            "telephone_number": "718-387-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4424-4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11204",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041201",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIANLIVI",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.