Active NPI
Stephen Litvak, M.D.
- Specialist
- New Hyde Park, NY
National Provider Identifier
1497787667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 138261
- Practice address
- 2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018 - Phone
- (516) 354-4433
- Fax
- (516) 437-3250
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 138261 | NY | Primary |
Addresses
Primary practice location
2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018
Mailing address
2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018
Phone (516) 354-4433
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110112001011 | NY | Practitioner - General Surgery | 5890984462 | Practice locations: Manhasset, NY; Lake Success, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138261 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jagmohan K Kalra MD PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- stephenlitvak@nslijmedgr.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Lake Success, NY
- NPI 1124209655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497787667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MARCUS AVE",
"address_2": "SUITE 110",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421018",
"telephone_number": "516-354-4433",
"fax_number": "516-437-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MARCUS AVE",
"address_2": "SUITE 110",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421018",
"telephone_number": "516-354-4433",
"fax_number": "516-437-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITVAK",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "138261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.