Active NPI
Marie Edith F Lefevre, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1720190051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 155114
- Practice address
- 3101 Clarendon Rd
Brooklyn, NY 11226 - Phone
- (718) 462-6611
- Fax
- (718) 462-4944
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 155114 | NY | Primary |
Addresses
Primary practice location
3101 Clarendon Rd
Brooklyn, NY 11226
Mailing address
3101 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 462-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00830566 | Medicaid | NY |
Other names 1
- Marie Edith Faublas Lefevre
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155114 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1080 Sunrise Hwy
Amityville, NY 11701
Phone (631) 716-9026
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- marie.lefevre@hrh.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720190051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 CLARENDON RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-462-6611",
"fax_number": "718-462-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 CLARENDON RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-462-6611",
"fax_number": "718-462-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEVRE",
"first_name": "MARIE EDITH",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "155114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00830566",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE EDITH",
"last_name": "LEFEVRE",
"middle_name": "FAUBLAS",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.