Active NPI
Sherman Abrams Laboratory Inc
- Clinical Medical Laboratory
- Brooklyn, NY
National Provider Identifier
1598820235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- PFI3534
- Legal business name
- SHERMAN ABRAMS LABORATORY INC
- Practice address
- 63 Flushing Ave Unit 292
Brooklyn, NY 11205-1079 - Phone
- (718) 435-7200
- Fax
- (718) 438-1788
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yakov Leybovich
- Title
- Ceo
- Phone
- (718) 435-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PFI3534 | NY | Primary |
Addresses
Primary practice location
63 Flushing Ave Unit 292
Brooklyn, NY 11205-1079
Mailing address
63 Flushing Ave Unit 292
Brooklyn, NY 11205-1079
Phone (718) 435-7200
Other practice location 1
524 Williamstown Rd
Sicklerville, NJ 08081-1800
Phone (718) 435-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00289354 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100108000025 | NY | Part B Supplier - Independent Clinical Laboratory | 7416098751 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0146545 | Sherman-Abrams Laboratory Inc | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1466 49th St
Ste 1
Brooklyn, NY 11219
Phone (718) 435-7200
63 Flushing Ave
Unit 292
Brooklyn, NY 11205
Phone (718) 435-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1598820235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 FLUSHING AVE UNIT 292",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051079",
"telephone_number": "718-435-7200",
"fax_number": "718-438-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 FLUSHING AVE UNIT 292",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051079",
"telephone_number": "718-435-7200",
"fax_number": "718-438-1788"
}
],
"practiceLocations": [
{
"address_1": "524 Williamstown Rd",
"address_purpose": "LOCATION",
"city": "Sicklerville",
"state": "NJ",
"postal_code": "080811800",
"country_code": "US",
"telephone_number": "718-435-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHERMAN ABRAMS LABORATORY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "LEYBOVICH",
"authorized_official_first_name": "YAKOV",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-435-7200"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "PFI3534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00289354",
"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 Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.