Individual provider Active NPI

Leonid Izrayelit, MD

  • Psychiatry Physician
  • Forest Hills, NY
National Provider Identifier
1851486088
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
207397 Issued in NY
Practice address
11215 72ND Rd
Suite LL1
Forest Hills, NY 11375-4663
Phone
(718) 261-3577
Fax
(718) 261-4142
NPI assigned
Oct 4, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 207397 NY Primary

Addresses

Primary practice location

11215 72ND Rd
Suite LL1
Forest Hills, NY 11375-4663

Mailing address

5746 226TH St
Oakland Gardens, NY 11364-2045
Phone (718) 261-3577

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
I20040603000962 NY Practitioner - PsychiatryPractitioner - Addiction Medicine 9739161779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5746 226TH St
Oakland Gardens, NY 11364-2045
Phone (718) 807-8805

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Care Medical PC CurrentSince Oct 1, 2002 Accepting new patients
New Horizon Medical P.C. CurrentSince Aug 1, 1999 Accepting new patients
Choices Women's Medical Center, Inc. Past Accepting new patients
New York Psychiatric Services, P.C. Psychiatry PastSince May 1, 2000 Accepting new patients
Ascan RX Inc Past Accepting new patients
Richmond University Medical Center Past Accepting new patients
Advanced Human Services,Inc Past Accepting new patients
Advanced Human Services,Inc Past Accepting new patients

Locations

1725 E 12th St
Ste 201
Brooklyn, NY 11229
Phone (718) 336-6334

2606 Haring St
Fl 2
Brooklyn, NY 11235
Phone (718) 645-6434

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1851486088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 226TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642045",
            "telephone_number": "718-261-3577",
            "fax_number": "718-261-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 72ND RD",
            "address_2": "SUITE LL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754663",
            "telephone_number": "718-261-3577",
            "fax_number": "718-261-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZRAYELIT",
        "first_name": "LEONID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.