Individual provider Active NPI

Herman Lebovitch, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1932143716
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192733 Issued in NY
Practice address
1335 Linden Blvd Ste 100
Brooklyn, NY 11212-4751
Phone
(718) 240-5100
Fax
(718) 206-6786
NPI assigned
Jun 15, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 192733 NY Primary

Addresses

Primary practice location

1335 Linden Blvd Ste 100
Brooklyn, NY 11212-4751

Mailing address

1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3198
Phone (718) 240-5811

Other identifiers 1

IdentifierTypeStateIssuer
01446762MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070223000517 NY Practitioner - Internal Medicine 2365444635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 1, 2012 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 1, 2012 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

1235 Linden Blvd
Fl 1
Brooklyn, NY 11212
Phone (718) 975-8368

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1335 Linden Blvd
Brooklyn, NY 11212
Phone (718) 240-5100

1335 Linden Blvd
Ste 100
Brooklyn, NY 11212
Phone (718) 240-5100

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1932143716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-5811",
            "fax_number": "718-206-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LINDEN BLVD STE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124751",
            "telephone_number": "718-240-5100",
            "fax_number": "718-206-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITCH",
        "first_name": "HERMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01446762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.