Individual provider Active NPI

Leonard Gerard Novarro, MD

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1952498271
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
152118 Issued in NY
Practice address
84 Amity St
Ground Floor
Brooklyn, NY 11201-6005
Phone
(718) 643-0704
Fax
(718) 643-0235
NPI assigned
Oct 6, 2006
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 152118 NY Primary

Addresses

Primary practice location

84 Amity St
Ground Floor
Brooklyn, NY 11201-6005

Mailing address

84 Amity St
Ground Floor
Brooklyn, NY 11201-6005
Phone (718) 643-0704

Other identifiers 1

IdentifierTypeStateIssuer
00831127MedicaidNY

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
I20060504000208 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0547270555 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

84 Amity St
Brooklyn, NY 11201-6005
Phone (718) 643-0704

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Mar 1, 2020 Accepting new patients
Kings Physician Services, PC CurrentSince Mar 1, 2020 Accepting new patients
Advanced Oxy-Med Respiratory Therapy Services PC Past Accepting new patients

Locations

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

Interoperability endpoints

  • Direct secure messaging: len9022@direct.nyp.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1952498271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 AMITY ST",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016005",
            "telephone_number": "718-643-0704",
            "fax_number": "718-643-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 AMITY ST",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016005",
            "telephone_number": "718-643-0704",
            "fax_number": "718-643-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVARRO",
        "first_name": "LEONARD",
        "middle_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "152118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00831127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.