Individual provider Active NPI

Stephen Litvak, M.D.

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1497787667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138261 Issued in NY
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
138261NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.