Active NPI
Leon E Popovitz, M.D.
- Specialist
- New York, NY
National Provider Identifier
1437198892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2036671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02159171 | Medicaid | NY |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2036671 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Past | Accepting new patients | |
| Metro Athletic Medicine & Fitness PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
dba Metro Sportsmed
- Physical Therapist
- Brooklyn, NY
- NPI 1255436663
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.