Lifelong Medical Diagnostics PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LIFELONG MEDICAL DIAGNOSTICS PC

Practice address

1460 W 5TH St Ste M1
Brooklyn, NY 11204-4071

Phone

(718) 234-2233

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Yevgeny Litvak, MD

Title

MD

Phone

(718) 234-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1578066015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 EMMONS AVE APT 1K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351790",
            "telephone_number": "718-234-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST STE M1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-234-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "LITVAK",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-234-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Medical Corp.
• Lifeline Medical Imaging PC
• Lifeline Medical Supply
• Lifeline Physical Therapy PLLC
• Lifeline Psychological, P.C.
• Lifelong Medical, P.C.
• Lifesaver Medical Supplies
• Lifeskills Physical Therapy PLLC
• Lifespan Cru LLC
• Lifespire, Inc.

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.