Active NPI
Menachem Mendel Gurevitz, DO
- General Practice Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS023002
- Practice address
- 7306 Brookhaven Rd
Philadelphia, PA 19151-2205 - Phone
- (718) 663-9868
- NPI assigned
- Apr 7, 2022
- Last updated
- Aug 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
| License | State | Type | Specialty |
|---|---|---|---|
| 337907 | NY | MD | Licensed Practical Nurse |
| 4242 | AL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | General Practice | Current | 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
- 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MI, PA, WI
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.