Organization Active NPI

Lev M Khitin MD PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
National Provider Identifier
1740415298
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
243555-1 Issued in NY
Legal business name
LEV M KHITIN MD PC
Practice address
406 15TH St
Brooklyn, NY 11215-6054
Phone
(718) 701-5852
Fax
(347) 269-4007
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. Lev Mark Khitin, M.D.NPI 1043293798
Title
MD/Owner
Phone
(718) 701-5852

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
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 243555-1 NY Primary

Addresses

Primary practice location

406 15TH St
Brooklyn, NY 11215-6054

Mailing address

10 West St
Suite 21E
New York, NY 10004-1072
Phone (718) 701-5852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090626000059 NY Part B Supplier - Clinic/Group Practice 5193876472 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1513 Voorhies Ave
Ste 2
Brooklyn, NY 11235
Phone (212) 575-8346

406 15th St
Ste 1
Brooklyn, NY 11215
Phone (212) 575-8346

44 Court St
Ste 915
Brooklyn, NY 11201
Phone (212) 575-8346

30 Park Ave
Ste 51
New York, NY 10016

30 Park Ave
Ste S1
New York, NY 10016
Phone (718) 701-5852

30 Park Ave
Ofc S1
New York, NY 10016

Practitioners & affiliated clinicians

Practitioners 4

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": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1740415298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "address_2": "SUITE 21E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041072",
            "telephone_number": "718-701-5852",
            "fax_number": "347-269-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156054",
            "telephone_number": "718-701-5852",
            "fax_number": "347-269-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEV M KHITIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "KHITIN",
        "authorized_official_first_name": "LEV",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "718-701-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "243555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 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.