Individual provider Active NPI

Evan Scott Leibner, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1376886499
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D82428 Issued in NY
Practice address
1 Gustave Levy Place
New York, NY 10029-1002
Phone
(212) 241-8867
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D82428 NY Primary
Surgical Critical Care Physician 2086S0102X 292667 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 292667 NY

Addresses

Primary practice location

1 Gustave Levy Place
New York, NY 10029-1002

Mailing address

1 Gustave Levy PL
Box 1264
New York, NY 10029-1544
Phone (410) 732-8867

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
I20180711003910 NY Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 1759677685 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500

1 St Ave and 16TH St
New York, NY 10003
Phone (212) 420-4107

1468 Madison Ave
New York, NY 10029-6508
Phone (212) 987-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D82428NYMDEmergency Medicine Physician
292667NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince May 16, 2020 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 22, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince May 22, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Aug 15, 2018 Accepting new patients
Mount Sinai School of Medicine Emergency Medicine Past Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Emergency Medicine Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

1468 Madison Ave
#3220
New York, NY 10029

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Networks

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

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1376886499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE LEVY PL",
            "address_2": "BOX 1264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291544",
            "telephone_number": "410-732-8867",
            "fax_number": "410-328-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE LEVY PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291002",
            "telephone_number": "212-241-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBNER",
        "first_name": "EVAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "D82428",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "292667",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "292667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.