Individual provider Active NPI

Cluny Lefevre, DO

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1477505147
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205008-1 Issued in NY
Practice address
427 Fort Washington Ave Apt 1C
New York, NY 10033-3522
Phone
(212) 740-4600
Fax
(212) 740-4604
NPI assigned
May 17, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205008-1 NY Primary

Addresses

Primary practice location

427 Fort Washington Ave Apt 1C
New York, NY 10033-3522

Mailing address

427 Fort Washington Ave Apt 1C
New York, NY 10033-3522
Phone (212) 740-4600

Other identifiers 1

IdentifierTypeStateIssuer
01863116MedicaidNY

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
I20060629000255 NY Practitioner - Family Practice 9537171905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 E 49TH St
Apt LD
New York, NY 10017-1600
Phone (212) 843-5743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205008-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CPL Medical P.C. Current Accepting new patients
Lionel and Marie Edith F Lefevre Physicians P.C. Past Accepting new patients
TJH Medical Services, P.C. Family Medicine Past Accepting new patients
Doctor Medical of Ny PC Family Medicine PastSince Apr 30, 2003 Accepting new patients

Networks

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

Organizations & group practices 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1477505147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 FORT WASHINGTON AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333522",
            "telephone_number": "212-740-4600",
            "fax_number": "212-740-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 FORT WASHINGTON AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333522",
            "telephone_number": "212-740-4600",
            "fax_number": "212-740-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "CLUNY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205008-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.