Individual provider Active NPI

Lev S. Simkhayev, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1578563243
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07436200 Issued in NJ
Practice address
3 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone
(732) 360-9996
NPI assigned
Jul 26, 2005
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07436200 NJ Primary

Addresses

Primary practice location

3 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Mailing address

3 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 360-9996

Other identifiers 1

IdentifierTypeStateIssuer
9015001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040712000874 NJ Practitioner - Internal Medicine 3971494014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 360-9996

3 Brunswick Woods Rd
BLDG a Suite 205
East Brunswick, NJ 08816-5601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07436200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart M Homer MD PA CurrentSince Aug 20, 2014 Accepting new patients
Lev Simkhayev MD PC Internal Medicine CurrentSince May 1, 2004 Accepting new patients
Everhearts Cardiology LLC Past Accepting new patients

Locations

1030 Saint Georges Ave
Ste 201
Avenel, NJ 07001
Phone (732) 602-0244

3 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 360-9996

758 State Route 18
Ste 103A
East Brunswick, NJ 08816
Phone (732) 360-9996

1027 State Route 34
Matawan, NJ 07747
Phone (732) 583-9999

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABGIAA
  • Direct secure messaging: lev.simkhayev@levsimkhayevmdpc.chartmakerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1578563243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-360-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-360-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKHAYEV",
        "first_name": "LEV",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07436200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.