Individual provider Active NPI

Brad Litwak, M.D.

  • Anesthesiology Physician
  • Carle Place, NY
National Provider Identifier
1700982733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
147136 Issued in NY
Practice address
255 Glen Cove Rd
Carle Place, NY 11514-1207
Phone
(516) 877-2400
Fax
(516) 877-1560
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 147136 NY Primary

Addresses

Primary practice location

255 Glen Cove Rd
Carle Place, NY 11514-1207

Mailing address

112 Fig Dr
Dix Hills, NY 11746-5657
Phone (631) 385-5141

Other identifiers 1

IdentifierTypeStateIssuer
147136OtherNY STATE LICENSE NUMBER

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
I20111208000501 NY Practitioner - Anesthesiology 8224066873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147136NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700982733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FIG DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465657",
            "telephone_number": "631-385-5141",
            "fax_number": "631-470-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GLEN COVE RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141207",
            "telephone_number": "516-877-2400",
            "fax_number": "516-877-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWAK",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "147136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "147136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

Verify at the official NPI Registry.