Active NPI
Ilya Litvak
- Emergency Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS019157
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9000
- NPI assigned
- Apr 24, 2015
- Last updated
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 290986 | NY | |
| Emergency Medicine Physician | 207P00000X | OS019157 | PA | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-5067
Other practice location 2
3369 Route 100
Macungie, PA 18062-9613
Phone (610) 402-8111
Other practice location 3
3369 Route 100
Macungie, PA 18062-9613
Phone (610) 402-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07811636 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ilitvak393200@direct.rochesterregional.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
334 Main St
Dickson City, PA 18519-1668
Phone (570) 476-3353
3369 State Route 100
LVH Hospitalist PGRM
Macungie, PA 18062-9613
Phone (610) 402-8111
3371 State Route 100
LVPG Orthopedics and Sports Medicine Macu
Macungie, PA 18062-9613
Phone (610) 402-8900
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital - Macungie
- Geisinger Wyoming Valley Medical Center
- Lehigh Valley Hospital - Dickson City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290986 | NY | MD | Emergency Medicine Physician |
| OS019157 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| Physicians Medical Associates New York PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Emergency Medicine | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Physicians Medical Associates New York PC | Emergency Medicine | Current | Accepting new patients |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| Emergency Associates of Montclair LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Current | Accepting new patients |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Medical Services of Suffolk County PC | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Geieinger Clinic | Current | Accepting new patients |
Locations (25 of 42)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051
301 E Main St
Bldg 21117
Bay Shore, NY 11706
Phone (631) 968-3100
10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
300 Community Dr
Manhasset, NY 11030
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
Organizations & group practices 38
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.
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medical Services (Emergency Medicine) Physician
- Binghamton, NY
- NPI 1659464758
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Emergency Medicine
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1073386421
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lehigh Valley Hospital Gilbertsville
- General Acute Care Hospital
- Gilbertsville, PA
- NPI 1588438956
-
dba Lehigh Valley Hospital Macungie
- General Acute Care Hospital
- Macungie, PA
- NPI 1659150514
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1649667957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9000"
}
],
"practiceLocations": [
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213011",
"country_code": "US",
"telephone_number": "585-922-5067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3369 Route 100",
"address_purpose": "LOCATION",
"city": "Macungie",
"state": "PA",
"postal_code": "180629613",
"country_code": "US",
"telephone_number": "610-402-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3369 Route 100",
"address_purpose": "LOCATION",
"city": "Macungie",
"state": "PA",
"postal_code": "180629613",
"country_code": "US",
"telephone_number": "610-402-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITVAK",
"first_name": "ILYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "290986",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS019157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07811636",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ilitvak393200@direct.rochesterregional.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1425 Portland Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.