Individual provider Active NPI

Lyubov Yakovlevna Gorelik, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1528071545
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
218080-1 Issued in NY
Practice address
2601 Ocean Pkwy
Brooklyn, NY 11235-7791
Phone
(718) 616-3000
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 218080-1 NY Primary

Addresses

Primary practice location

2601 Ocean Pkwy
Brooklyn, NY 11235-7791

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7791
Phone (718) 616-3000

Other identifiers 1

IdentifierTypeStateIssuer
02110516MedicaidNY

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
I20040614001147 NY Practitioner - Psychiatry 2062496581 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PC 1,222 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218080-1NYMDPsychiatry Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. Current Accepting new patients
Lifespire, Inc. CurrentSince Jan 20, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jan 20, 2017 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Nov 18, 2017 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Nov 18, 2017 Accepting new patients
University Group Medical Associates, P.C Psychiatry Past Accepting new patients
Amerihealth Medical P.C PastSince Apr 1, 2012 Accepting new patients
Amerirehab Services PT PC Past Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

2316 Surf Ave
Brooklyn, NY 11224
Phone (718) 946-1919

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

8020 45th Ave
Flushing, NY 11373
Phone (718) 478-2900

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: lyubovgorelik@tdh.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1528071545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357791",
            "telephone_number": "718-616-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357791",
            "telephone_number": "718-616-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELIK",
        "first_name": "LYUBOV",
        "middle_name": "YAKOVLEVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218080-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110516",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.