Organization Active NPI

Aleksandr Livshits Medical, PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1528250347
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
201746 Issued in NY
Legal business name
ALEKSANDR LIVSHITS MEDICAL, PC
Practice address
445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780
Phone
(718) 645-0300
Fax
(718) 375-5920
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Elina Shulman, RN
Title
General Manager
Phone
(718) 375-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 201746 NY Primary

Addresses

Primary practice location

445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780

Mailing address

445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780
Phone (718) 645-0300

Other identifiers 1

IdentifierTypeStateIssuer
01655141MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1528250347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSANDR LIVSHITS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "718-375-6001",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "201746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01655141",
            "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 Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.