Individual provider Active NPI

Erwin Lerebours, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1699722587
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
228242 Issued in NY
Practice address
5202 Avenue N
Brooklyn, NY 11234-3942
Phone
(718) 208-4433
Fax
(718) 799-1415
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 228242-1 NY
Obstetrics & Gynecology Physician 207V00000X 228242 NY Primary

Addresses

Primary practice location

5202 Avenue N
Brooklyn, NY 11234-3942

Mailing address

2 Carman Rd
Dix Hills, NY 11746-5645
Phone (718) 208-4433

Other identifiers 1

IdentifierTypeStateIssuer
02610153MedicaidNY

Other names 1

  • Louis Jjmi Erwin Lerebours Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000060 NY Practitioner - Obstetrics/Gynecology 8820143175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Heights Health Center, Inc.Group PAC ID 3072798172, shared by 6 NPIs, 49 clinicians

Practice addresses (Care Compare)

1336 Utica Ave
Brooklyn, NY 11203-5912
Phone (718) 208-4433

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228242-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Lerebours Medical PLLC Obstetrics & Gynecology CurrentSince Mar 16, 2022 Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

5202 Avenue N
Brooklyn, NY 11234
Phone (718) 208-4433

1336 Utica Ave
Brooklyn, NY 11203
Phone (718) 629-5500

1847 Bedford Ave
Brooklyn, NY 11225
Phone (718) 208-4433

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: erwin.lerebours.p1@direct.mhhc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBGCD/Endpoint/CEBGCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1699722587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARMAN RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465645",
            "telephone_number": "718-208-4433",
            "fax_number": "718-799-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343942",
            "telephone_number": "718-208-4433",
            "fax_number": "718-799-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEREBOURS",
        "first_name": "ERWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "228242-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "228242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02610153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS JJMI",
            "last_name": "LEREBOURS",
            "middle_name": "ERWIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.