LK Better Health Medical PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LK BETTER HEALTH MEDICAL PC

Practice address

11115 Queens Blvd
2ND FL
Forest Hills, NY 11375

Phone

(718) 520-2300

Fax

(718) 520-4440

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Levan Khasidy, MDNPI 1073607727

Title

Owner

Phone

(718) 520-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Levan Khasidy, MD

  • Urology Physician
  • Forest Hills, NY
  • NPI 1073607727
  Medicare reassignment Authorized official
• Louis K Sussman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1497796262
  Medicare reassignment

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1902999428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 QUEENS BLVD",
            "address_2": "2ND FL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-520-2300",
            "fax_number": "718-520-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 QUEENS BLVD",
            "address_2": "2ND FL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-520-2300",
            "fax_number": "718-520-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK BETTER HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KHASIDY",
        "authorized_official_first_name": "LEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-520-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.