Active NPI
Neil Leibowitz
- Psychiatry Physician
- Glen Oaks, NY
National Provider Identifier
1457564767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2419061
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2419061 | Other | NY | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2419061 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Health Services, PLLC | Psychiatry | Current | Accepting new patients |
| Vita Health Services, LLPC | Current | Accepting new patients | |
| Vocational Instruction Project Community Services, Inc. | Past | Accepting new patients |
Locations
430 New Park Ave
Ste 102
West Hartford, CT 06110
Phone (647) 400-5180
Interoperability endpoints
- 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.
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- NPI 1881733830
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.