Active NPI
Leigh S Raviv, N.P.
- Women's Health Nurse Practitioner
- New York, NY
National Provider Identifier
1760870869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 42 421182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161122000415 | NY | Order and Referring Only - Nurse Practitioner | 1850618653 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 653205 | NY | MD | Registered Nurse |
| 42 421182 | NY | MD | Women's Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.