Individual provider Active NPI

Philip L Lebovitz, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, NJ
National Provider Identifier
1700875580
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA02670800 Issued in NJ
Practice address
3140 Princeton Pike
2ND Floor
Lawrenceville, NJ 08648-2306
Phone
(609) 895-1919
Fax
(609) 895-1200
NPI assigned
Oct 14, 2005
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA26708 NJ
Cardiovascular Disease Physician 207RC0000X 25MA02670800 NJ Primary

Addresses

Primary practice location

3140 Princeton Pike
2ND Floor
Lawrenceville, NJ 08648-2306

Mailing address

104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone (215) 860-3344

Other identifiers 2

IdentifierTypeStateIssuer
232571699OtherPAPA
7485409MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02670800NJMDCardiovascular Disease Physician
MA26708NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Heart Group Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1700875580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 128",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 PRINCETON PIKE",
            "address_2": "2ND FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482306",
            "telephone_number": "609-895-1919",
            "fax_number": "609-895-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITZ",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA26708",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02670800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "232571699",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7485409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.