Lev Aminov, RPA-C
Individual provider Active NPI Physician Assistant · Mineola, NY
NPI 1659680890 · NPPES record last updated Oct 6, 2010
Key facts
- NPI
- 1659680890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 014210-1 (NY)
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-0333
- NPI assigned
- Oct 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maimonides Faculty Practice Plan
Practice addresses (Care Compare)
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000
Hospital & facility affiliations
- Maimonides Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110707000436 | NY | Practitioner - Physician Assistant | 5092990754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014210 | NY | MD | Clinical Psychologist |
| 014210-1 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014210-1 | NY | Yes |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
1325 Pennsylvania Ave
Apt 19G
Brooklyn, NY 11239-1916
Phone (917) 497-1966
Other providers in Mineola, NY
- Anthony Amador
- Ambi Medical Associates, PC
- Nina Amelio-Simulcik
- Melissa Amendoeira
- American Medical Equiptment & Supplies Inc
- Ananda & Poulose Medical
- Anupama Ananda
- Alejandro Manuel Andrade-Vicenty
- Cynthia Andrade
- Andrew Sackserdds PLLC
All providers in Mineola, NY · Physician Assistant 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 Oct 6, 2010. 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.