Boris Livshin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

211839-1 Issued in NY

Practice address

67 Irving PL
10TH Floor
New York, NY 10003-2202

Phone

(212) 254-5350

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Gastroenterology Consultants PCGroup PAC ID 8921999079, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Island Gastroenterology Consultants PC

  • Specialist
  • West Islip, NY
  • NPI 1174556963
  Medicare reassignment Care Compare group NPD
• Eastside Medical Care PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1134364011
  Medicare reassignment NPD
• Boris Livshin Physician, PC

  • Anesthesiology Physician
  • Rego Park, NY
  • NPI 1518040674
  NPD (past) Authorized official
• Robert Bernholc MD PC

  • Anesthesiology Physician
  • Setauket, NY
  • NPI 1972640761
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801864608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171001",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032202",
            "telephone_number": "212-254-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVSHIN",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "211839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Livingston, M.D.
• William Ryan Livingston, DC
• Wesley Livingstone
• Mordehai Livni, L,AC.
• Joanne Livote, M.D.
• Daniel Livshin, RN
• Norman Liwanag
• Tozca Camillie Liwanag, RN
• Nadia Liyanage-Don, M.D.
• Chathuni Shanika Liyanage

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.