Individual provider Active NPI

Leon E Popovitz, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1437198892
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2036671 Issued in NY
Practice address
130 E 67TH St
Ground Level
New York, NY 10065-6136
Phone
(212) 759-4553
Fax
(212) 486-8334
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2036671 NY Primary

Addresses

Primary practice location

130 E 67TH St
Ground Level
New York, NY 10065-6136

Mailing address

155 East 55TH Street
Suite 5D
New York, NY 10022-9845
Phone (212) 759-4553

Other identifiers 1

IdentifierTypeStateIssuer
02159171MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2036671NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC PastSince Jun 1, 2007 Accepting new patients
Metro Athletic Medicine & Fitness PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leon.popovitz@direct.hobokenumc.md

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1437198892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 EAST 55TH STREET",
            "address_2": "SUITE 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229845",
            "telephone_number": "212-759-4553",
            "fax_number": "212-486-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 67TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656136",
            "telephone_number": "212-759-4553",
            "fax_number": "212-486-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVITZ",
        "first_name": "LEON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2036671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02159171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.