Individual provider Active NPI

Neil Leibowitz

  • Psychiatry Physician
  • Glen Oaks, NY
National Provider Identifier
1457564767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2419061 Issued in NY
Practice address
7559 263Rd St
Zucker Hillside Hospital
Glen Oaks, NY 11004-1150
Phone
(718) 470-8005
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2419061 NY Primary

Addresses

Primary practice location

7559 263Rd St
Zucker Hillside Hospital
Glen Oaks, NY 11004-1150

Mailing address

3333 Henry Hudson Pkwy Apt 15H
Bronx, NY 10463-3229

Other identifiers 1

IdentifierTypeStateIssuer
2419061OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2419061NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Health Services, PLLC Psychiatry Current Accepting new patients
Vita Health Services, LLPC Current Accepting new patients
Vocational Instruction Project Community Services, Inc. PastSince Jan 1, 2018 Accepting new patients

Locations

430 New Park Ave
Ste 102
West Hartford, CT 06110
Phone (647) 400-5180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24036/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457564767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY APT 15H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 263RD ST",
            "address_2": "ZUCKER HILLSIDE HOSPITAL",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041150",
            "telephone_number": "718-470-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "2419061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2419061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.