Individual provider Active NPI

Menachem Mendel Gurevitz, DO

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1669114054
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS023002 Issued in PA
Practice address
7306 Brookhaven Rd
Philadelphia, PA 19151-2205
Phone
(718) 663-9868
NPI assigned
Apr 7, 2022
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS023002 PA Primary

Addresses

Primary practice location

7306 Brookhaven Rd
Philadelphia, PA 19151-2205

Mailing address

7306 Brookhaven Rd
Philadelphia, PA 19151-2205
Phone (718) 663-9868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, WI, AL, OH, NJ, VA, MI8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20231030001698 PA Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20251031000816 NY Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20251031001518 WI Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20251104001370 AL Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20260429003040 OH Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20260505004233 NJ Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20260506000514 VA Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization
I20260507001699 MI Practitioner - General Practice 6305292210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
337907NYMDLicensed Practical Nurse
4242ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Aug 17, 2023 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Aug 22, 2025 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: mgurevitz2070682@direct.trinity-health.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1669114054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 BROOKHAVEN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512205",
            "telephone_number": "718-663-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 BROOKHAVEN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512205",
            "telephone_number": "718-663-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREVITZ",
        "first_name": "MENACHEM",
        "middle_name": "MENDEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-08-04",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS023002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.