Individual provider Active NPI

Eric Joseph Ledermann, D.O.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1871722801
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
274286-1 Issued in NY
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

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 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
I20140619002261 NY Practitioner - Diagnostic Radiology 1557585247 Reassigns benefits to 4 organizations
I20171005000748 FL Practitioner - Diagnostic Radiology 1557585247 Reassigns benefits to 9 organizations

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
Radiology Associates of Brooklyn LLPGroup PAC ID 5092881896, 7 clinicians

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

LicenseStateTypeSpecialty
274286NYMDLicensed Practical Nurse
274286-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Jul 16, 2023 Accepting new patients
Unc Physicians Network LLC CurrentSince Mar 21, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Mar 11, 2019 Accepting new patients
Radiology Associates of Brooklyn, LLP CurrentSince Feb 1, 2020 Accepting new patients
University Physicians of Brooklyn, Inc. Diagnostic Radiology CurrentSince Mar 9, 2021 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 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 CurrentSince Dec 1, 2025 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Mar 9, 2021 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jul 16, 2023 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jul 16, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Apr 1, 2014 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 PastSince Jul 1, 2008 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.

View all 26

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

Verify at the official NPI Registry.