Individual provider Active NPI

Leonid E. Tafler

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1932237146
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212382 Issued in NY
Practice address
4010 Avenue J
Brooklyn, NY 11210-4440
Phone
(718) 338-1166
Fax
(718) 951-7550
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 212382 NY
Family Medicine Physician 207Q00000X 212382 NY Primary

Addresses

Primary practice location

4010 Avenue J
Brooklyn, NY 11210-4440

Mailing address

4010 Avenue J
Brooklyn, NY 11210-4440
Phone (718) 338-1166

Other identifiers 1

IdentifierTypeStateIssuer
01906270MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20090512000091 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8123176609 Reassigns benefits to 2 organizations
I20150512000307 NJ Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 8123176609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxim Karabach M.D, LLCGroup PAC ID 4789838020, 2 clinicians

Practice addresses (Care Compare)

4010 Ave J
Brooklyn, NY 11210-4440
Phone (718) 338-1166

67 Lacey Rd
Suite 5
Whiting, NJ 08759-2912
Phone (732) 716-1700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical PC CurrentSince Dec 28, 2019 Accepting new patients
Maxim Karabach, MD, LLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

67 Lacey Rd
Ste 5
Whiting, NJ 08759
Phone (732) 716-1700

2101 Lake Rd
Ste 1
Whiting, NJ 08759

225 Broadway
Ste 910
New York, NY 10007
Phone (212) 571-5000

Interoperability endpoints

  • Direct secure messaging: ltafler@ajm-ny.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1932237146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104440",
            "telephone_number": "718-338-1166",
            "fax_number": "718-951-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104440",
            "telephone_number": "718-338-1166",
            "fax_number": "718-951-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFLER",
        "first_name": "LEONID",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "212382",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01906270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.