Organization Active NPI

Madison Medical Practice P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1871751735
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233707 Issued in NY
Legal business name
MADISON MEDICAL PRACTICE P.C.
Practice address
35 W 36TH St RM 4W
New York, NY 10018-7658
Phone
(212) 686-5800
Fax
(855) 428-5426
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Lev Haimoff, D.ONPI 1831133131
Title
Owner
Phone
(212) 686-5800

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 233707 NY Primary

Addresses

Primary practice location

35 W 36TH St RM 4W
New York, NY 10018-7658

Mailing address

35 W 36TH St RM 4W
New York, NY 10018-7658
Phone (212) 686-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081219000064 NY Part B Supplier - Clinic/Group Practice 2163584590 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787

35 W 36th St
Rm 4W
New York, NY 10018
Phone (212) 686-5800

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1871751735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 36TH ST RM 4W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187658",
            "telephone_number": "212-686-5800",
            "fax_number": "855-428-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 36TH ST RM 4W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187658",
            "telephone_number": "212-686-5800",
            "fax_number": "855-428-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "HAIMOFF",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-686-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.