Active NPI
Aleksandr Lipel, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1497721591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023424
- Practice address
- 3715 Mermaid Ave
Brooklyn, NY 11224-1218 - Phone
- (917) 612-3971
- Fax
- (718) 934-3330
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023424 | NY | Primary |
Addresses
Primary practice location
3715 Mermaid Ave
Brooklyn, NY 11224-1218
Mailing address
3715 Mermaid Ave
Brooklyn, NY 11224-1218
Phone (917) 612-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02202940 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031120000619 | NY | Practitioner - Physical Therapist in Private Practice | 6901700160 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1601 Gravesend Neck Rd
FL 2
Brooklyn, NY 11229-4426
Phone (718) 714-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023424 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magna Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Nyc Occupational Therapy PC | Past | Accepting new patients |
Locations
1601 Gravesend Neck Rd
Fl 2
Brooklyn, NY 11229
Phone (718) 252-2311
1601 Gravesend Neck Rd
Ste 11
Brooklyn, NY 11229
Phone (718) 714-0700
Organizations & group practices 2
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.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1205166253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497721591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 MERMAID AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241218",
"telephone_number": "917-612-3971",
"fax_number": "718-934-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 MERMAID AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241218",
"telephone_number": "917-612-3971",
"fax_number": "718-934-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPEL",
"first_name": "ALEKSANDR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02202940",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.