Individual provider Active NPI

Michael Leibowitz, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1811900780
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
171471 Issued in NY
Practice address
150 55TH St
Brooklyn, NY 11220-2559
Phone
(718) 630-8456
Fax
(718) 630-8515
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 171471 NY Primary

Addresses

Primary practice location

150 55TH St
Brooklyn, NY 11220-2559

Mailing address

PO Box 48257
Newark, NJ 07101-4800
Phone (718) 630-8456

Other identifiers 1

IdentifierTypeStateIssuer
01640220MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000159 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Pain Management 2769469063 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Medicine and Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Aug 4, 1999 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
LMC Physician Services, PC Past Accepting new patients
Farshad Shafizadeh, M.D., P.C. Past Accepting new patients
Kings Medical PC Physical Medicine & Rehabilitation PastSince Mar 16, 2007 Accepting new patients
Boro Park Medical P.C. PastSince Feb 18, 2000 Accepting new patients
Outpatient Rehab. Centers of N.Y. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

17916 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 380-6002

830 Park Ave
Huntington, NY 11743
Phone (631) 271-5800

3115 Horseblock Rd
Medford, NY 11763
Phone (631) 730-3000

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1440 Port Washington Blvd
Sands Point, NY 11050
Phone (516) 719-9400

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Interoperability endpoints

  • Direct secure messaging: mleibowitz130713@nyumc.direct-ci.com
  • Direct secure messaging: michaelleibowitz@whmc.allscriptsdirect.net

Organizations & group practices 7

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1811900780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48257",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014800",
            "telephone_number": "718-630-8456",
            "fax_number": "718-630-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-8456",
            "fax_number": "718-630-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "171471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.