Leonid Izrayelit Medical P.C.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

207397 Issued in NY

Legal business name

LEONID IZRAYELIT MEDICAL P.C.

Practice address

84-37 Main Street
Forest Hill, NY 11375

Phone

(718) 807-8805

NPI assigned

May 18, 2016

Last updated

May 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Izrayelit, M.D.NPI 1851486088

Title

Owner

Phone

(917) 650-0314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonid Izrayelit, MD

  • Psychiatry Physician
  • Forest Hills, NY
  • NPI 1851486088
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1720435845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84-37 MAIN ST",
            "city": "FOREST HILL",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-807-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84-37 MAIN STREET",
            "city": "FOREST HILL",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-807-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID IZRAYELIT MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "IZRAYELIT",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-650-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NY",
            "license": "207397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Psychologist in Forest Hill, NY
• Providers in Forest Hill, NY by specialty
• Health Service Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.