Individual provider Active NPI

Nathalia Idelevitch, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1447440029
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
244585 Issued in NY
Practice address
3048 Brighton 1St St Ste 2
Brooklyn, NY 11235-8081
Phone
(347) 702-9531
Fax
(347) 713-6416
NPI assigned
Jul 30, 2007
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD451234 PA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 244585 NY Primary

Addresses

Primary practice location

3048 Brighton 1St St Ste 2
Brooklyn, NY 11235-8081

Mailing address

3048 Brighton 1St St Ste 2
Brooklyn, NY 11235-8081
Phone (347) 702-9531

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
I20070823000108 NY Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 4688766553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3048 Brighton 1St St
Suite 2
Brooklyn, NY 11235-8081
Phone (347) 702-9531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451234PAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Nathalia Idelevitch Medical Office PC Geriatric Medicine CurrentSince Jun 3, 2009 Accepting new patients
Mermaid Operating Co, LLC PastSince Nov 4, 2005 Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients
Bensonhurst Mega Medical Care PC Past Accepting new patients
Amber Heart Medical, P.C. PastSince Oct 1, 2009 Accepting new patients

Locations

15 Bay 29th St
Ste 2A
Brooklyn, NY 11214
Phone (718) 266-3340

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

3048 Brighton 1st St
Ste 2
Brooklyn, NY 11235
Phone (347) 702-9531

3048 Brighton 1st St
Ste 6
Brooklyn, NY 11235
Phone (718) 676-6416

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • Direct secure messaging: nathaliaidelevitch@mai.allscriptsdirect.net

Organizations & group practices 7

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.

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1447440029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358081",
            "telephone_number": "347-702-9531",
            "fax_number": "347-713-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358081",
            "telephone_number": "347-702-9531",
            "fax_number": "347-713-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELEVITCH",
        "first_name": "NATHALIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD451234",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "244585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.