Active NPI
Ahava Medical and Rehabilitation Center LLC
- Clinical Medical Laboratory
- Brooklyn, NY
National Provider Identifier
1942036033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AHAVA MEDICAL AND REHABILITATION CENTER LLC
- Practice address
- 16 Sumner PL
Brooklyn, NY 11206-4110 - Phone
- (718) 951-8800
- Fax
- (718) 951-0846
- NPI assigned
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Lebovits
- Title
- President
- Phone
- (718) 951-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
16 Sumner PL
Brooklyn, NY 11206-4110
Mailing address
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone (718) 951-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240925000801 | NY | Part B Supplier - Independent Clinical Laboratory | 1557416997 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
O20240925000801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1942036033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104730",
"telephone_number": "718-951-8800",
"fax_number": "718-951-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SUMNER PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064110",
"telephone_number": "718-951-8800",
"fax_number": "718-951-0846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHAVA MEDICAL AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "LEBOVITS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-951-8800"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.