Organization Active NPI

Healthway Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1720058563
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A216744-1 Issued in NY
Legal business name
HEALTHWAY MEDICAL P.C.
Practice address
2195 E 22ND St
Suite 1C
Brooklyn, NY 11229-3602
Phone
(718) 648-4545
Fax
(718) 648-7788
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Irina Lelchuk, M.D., D.O.NPI 1942202437
Title
Owner
Phone
(718) 648-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A216744-1 NY Primary

Addresses

Primary practice location

2195 E 22ND St
Suite 1C
Brooklyn, NY 11229-3602

Mailing address

2195 E 22ND St
Suite 1C
Brooklyn, NY 11229-3602
Phone (718) 648-4545

Other identifiers 1

IdentifierTypeStateIssuer
02141688MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001154 NY Part B Supplier - Clinic/Group Practice 4385631688 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1021997Healthway Medical PC2195 East 22ND Street #1C, Brooklyn, NY 11229Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

506 Bay 44th St
Brooklyn, NY 11214
Phone (718) 946-0053

65 Broadway
Ste 1102
New York, NY 10006
Phone (212) 475-4545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1720058563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 E 22ND ST",
            "address_2": "SUITE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293602",
            "telephone_number": "718-648-4545",
            "fax_number": "718-648-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E 22ND ST",
            "address_2": "SUITE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293602",
            "telephone_number": "718-648-4545",
            "fax_number": "718-648-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAY MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LELCHUK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-648-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "A216744-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02141688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.