Individual provider Active NPI

Lawrence Leibowitz, M.D.

  • Family Medicine Physician
  • New Canaan, CT
National Provider Identifier
1780692335
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
037542 Issued in CT
Practice address
36 Grove St
New Canaan, CT 06840-5329
Phone
(203) 966-6305
Fax
(203) 966-4618
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 037542 CT Primary

Addresses

Primary practice location

36 Grove St
New Canaan, CT 06840-5329

Mailing address

36 Grove St
1St Floor
New Canaan, CT 06840-5329
Phone (203) 966-6305

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037542CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Personalized Medicine LLC Family Medicine Current Accepting new patients
Stamford Hospital Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Family Medicine Past Accepting new patients

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1780692335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GROVE ST",
            "address_2": "1ST FLOOR",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405329",
            "telephone_number": "203-966-6305",
            "fax_number": "203-966-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405329",
            "telephone_number": "203-966-6305",
            "fax_number": "203-966-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "037542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.