Individual provider Active NPI

Paul E Lvovsky, D.O.

  • Therapeutic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1861406191
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
215783 Issued in NY
Practice address
2505 86TH St
Brooklyn, NY 11214-4414
Phone
(718) 265-4300
Fax
(718) 996-0965
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 215783 NY Primary

Addresses

Primary practice location

2505 86TH St
Brooklyn, NY 11214-4414

Mailing address

2505 86TH St
Brooklyn, NY 11214-4414
Phone (718) 265-4300

Other identifiers 1

IdentifierTypeStateIssuer
2426924MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071026000599 NY Practitioner - Radiation Oncology 6002903788
I20231227001687 RI Practitioner - Radiation Oncology 6002903788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215783NYMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc CurrentSince Feb 5, 2024 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Ycmd PC Past Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

142 Kenyon Ave
Wakefield, RI 02879
Phone (401) 284-0850

Organizations & group practices 4

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1861406191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-265-4300",
            "fax_number": "718-996-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-265-4300",
            "fax_number": "718-996-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LVOVSKY",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "215783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.