Organization Active NPI

LL Physician Assistant PC

  • Surgical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1831736602
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LL PHYSICIAN ASSISTANT PC
Practice address
2279 Coney Island Ave FL 2
Brooklyn, NY 11223-3337
Phone
(718) 998-9890
NPI assigned
Nov 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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

Authorized official

Name
Leonid Litovskiy, PA-CNPI 1326306564
Title
Owner / PA-C
Phone
(917) 575-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2279 Coney Island Ave FL 2
Brooklyn, NY 11223-3337

Mailing address

452 Slosson Ave
Staten Island, NY 10314-5445
Phone (917) 575-1144

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LitovskiyPA@painfreenyc.com

National Provider Directory

National Provider Directory

Locations

2279 Coney Island Ave
Fl 2
Brooklyn, NY 11223
Phone (212) 882-1110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1831736602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 SLOSSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145445",
            "telephone_number": "917-575-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL PHYSICIAN ASSISTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "LITOVSKIY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER / PA-C",
        "authorized_official_telephone_number": "917-575-1144",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LitovskiyPA@painfreenyc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2279 Coney Island Ave Fl 2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112233337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.