Organization Active NPI

Pinkas E.Lebovits, M.D., P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1922005149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
136484 Issued in NY
Legal business name
PINKAS E.LEBOVITS, M.D., P.C.
Practice address
200 W 58TH St
New York, NY 10019-1432
Phone
(212) 757-7010
Fax
(212) 245-2067
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pinkas E. Lebovits, M.D.NPI 1023015245
Title
Ceo/President
Phone
(212) 757-7010

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 136484 NY Primary

Addresses

Primary practice location

200 W 58TH St
New York, NY 10019-1432

Mailing address

200 W 58TH St
New York, NY 10019-1432
Phone (212) 757-7010

Other identifiers 1

IdentifierTypeStateIssuer
00693581MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070414000032 NY Part B Supplier - Clinic/Group Practice 7113022476 Receives reassigned benefits from 11 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

200 W 58th St
Apt 1E
New York, NY 10019
Phone (212) 757-7010

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922005149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191432",
            "telephone_number": "212-757-7010",
            "fax_number": "212-245-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191432",
            "telephone_number": "212-757-7010",
            "fax_number": "212-245-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKAS E.LEBOVITS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBOVITS",
        "authorized_official_first_name": "PINKAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "212-757-7010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "136484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00693581",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.