Individual provider Active NPI

Leigh S Raviv, N.P.

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1760870869
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
42 421182 Issued in NY
Practice address
185 Madison Ave
New York, NY 10016-4325
Phone
(212) 532-1111
NPI assigned
Dec 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22 653205 NY
Women's Health Nurse Practitioner 363LW0102X 42 421182 NY Primary

Addresses

Primary practice location

185 Madison Ave
New York, NY 10016-4325

Mailing address

185 Madison Ave
New York, NY 10016-4325
Phone (212) 532-1111

Other practice location 1

227 Madison St
Gouverneur Health
New York, NY 10002-7537
Phone (212) 238-7897

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000415 NY Order and Referring Only - Nurse Practitioner 1850618653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22 653205NYMDRegistered Nurse
42 421182NYMDWomen's Health Nurse Practitioner

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: leigh.raviv.1@32149.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1760870869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164325",
            "telephone_number": "212-532-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164325",
            "telephone_number": "212-532-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Madison St",
            "address_2": "Gouverneur Health",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100027537",
            "country_code": "US",
            "telephone_number": "212-238-7897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVIV",
        "first_name": "LEIGH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-26",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 653205",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "42 421182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.