Organization Active NPI

Sherman Abrams Laboratory Inc

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1598820235
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
PFI3534 Issued in NY
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

Updated by the provider on Jun 20, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00289354MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000025 NY Part B Supplier - Independent Clinical Laboratory 7416098751 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0146545Sherman-Abrams Laboratory Inc63 Flushing Avenue, Building 292, Brooklyn, NY 11205ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.