Active NPI
Eric Joseph Ledermann, D.O.
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 274286-1
- Practice address
- 4802 10TH Ave
Maimonides Medical Center, Radiology Department
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6000
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS14837 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 274286-1 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Maimonides Medical Center, Radiology Department
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Brooklyn, NY 11219
Phone (718) 283-6000
Other practice location 1
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 Ave X
Brooklyn, NY 11235-2905
Phone (718) 332-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274286 | NY | MD | Licensed Practical Nurse |
| 274286-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary, LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Radiology Associates of Brooklyn, LLP | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Florida United Radiology LC | Diagnostic Radiology | Current | Accepting new patients |
| Delaware Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Maimonides Medical Center - MMC Radiology FPP | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of West Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Health Physicians Kentucky LLC | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
6000 Turkey Lake Rd
Ste 10
Orlando, FL 32819
Phone (407) 514-1840
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
2021 Avenue X
Brooklyn, NY 11235
Phone (718) 332-0545
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
9 Bond St
Fl 4
Brooklyn, NY 11201
Phone (718) 222-0202
848 49th St
Brooklyn, NY 11220
Phone (718) 375-6000
6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Healthfirst Medicare Network H1722
- Freedom Health HMO Network
Organizations & group practices 26
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.
-
- Specialist
- Brooklyn, NY
- NPI 1134244916
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1811948284
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
FL
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1871722801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "MAIMONIDES MEDICAL CENTER, RADIOLOGY DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [
{
"address_1": "701 W Plymouth Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327203236",
"country_code": "US",
"telephone_number": "386-943-3160",
"fax_number": "317-705-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDERMANN",
"first_name": "ERIC",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS14837",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "274286-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 8, 2023; 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.