Manuel Lopez-Leon, MD
Individual provider Active NPI Psychiatry Physician · New York, NY
NPI 1629035985 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1629035985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 246497 (NY)
- Practice address
- 169 East 74TH Street
New York, NY 10021 - Phone
- (212) 260-1438
- Fax
- (212) 228-3290
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brooklyn Center for Families in Crisis
Practice addresses (Care Compare)
1309 -1311 Foster Ave
Brooklyn, NY 11230-1511
Phone (718) 282-0010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090328000002 | NY | Practitioner - Psychiatry | 3476538307 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Current |
Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc | Current |
Accepting new patients | |
| The Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| Brooklyn Center for Families in Crisis | Current |
Accepting new patients | |
| Everly, Hildreth & Platman Behavioral Services, LLC | Psychiatry | Past | Accepting new patients |
Locations
3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400
938 Kings Hwy
Brooklyn, NY 11223
Phone (718) 998-3235
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 246497 | NY | Yes |
Addresses
Primary practice location
169 East 74TH Street
New York, NY 10021
Mailing address
169 E 74TH St
New York, NY 10021-3222
Phone (212) 260-1438
Other providers in New York, NY
- Cristela Lopez Ruiz
- Nicole Marie Lopez-Canizares
- Maria Tereza Samson Lopez-Cantor
- Eileen Lopez-Dejesus
- Isabel Alejandra Lopez-Garcia
- Martina Lopez-May
- Sonia Lopez-Moriarty
- Jaime F Lopez-Santini
- Lorena Lopez-Tobia
- Ana Victoria Lopez-Vazquez
All providers in New York, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.