Nathalia Idelevitch Medical Office PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

NATHALIA IDELEVITCH MEDICAL OFFICE PC

Practice address

3048 Brighton 1St St Ste 2
Brooklyn, NY 11235-8081

Phone

(347) 702-9531

Fax

(347) 702-6045

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nathalia Idelevitch, M.D.NPI 1447440029

Title

Medical Director

Phone

(917) 627-5470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Nathalia Idelevitch, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Brooklyn, NY
  • NPI 1447440029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1740423508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358081",
            "telephone_number": "347-702-9531",
            "fax_number": "347-702-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358081",
            "telephone_number": "347-702-9531",
            "fax_number": "347-702-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHALIA IDELEVITCH MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "IDELEVITCH",
        "authorized_official_first_name": "NATHALIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-627-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Nath, M.D.
• Sandy Simcha Nath, MD
• Sarath G Nath
• Sridesh G Nath, M.B.B.S.
• Swapan Kumar Nath, D.D.S.
• Nathan Boldur MD PLLC
• Nathan Levin Physician PC
• Nathan Molina MD PLLC
• Brittany Nathan
• Jennifer Nicole Nathan, LCSW

• Geriatric Medicine (Family Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.