Individual provider Active NPI

Mordechai Leifer

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1730899758
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
117095-01 Issued in NY
Practice address
182 Webster Ave
Brooklyn, NY 11230-1106
Phone
(718) 812-2875
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 117095-01 NY Primary

Addresses

Primary practice location

182 Webster Ave
Brooklyn, NY 11230-1106

Mailing address

182 Webster Ave
Brooklyn, NY 11230-1106
Phone (718) 812-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117095-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Licensed Behavior Analyst PLLC Behavior Analyst Past Accepting new patients
Emerge Licensed Behavior Analyst PLLC Behavior Analyst PastSince Jan 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1730899758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WEBSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301106",
            "telephone_number": "718-812-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WEBSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301106",
            "telephone_number": "718-812-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "MORDECHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "117095-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.