LITVINOVA MEDICAL PC
NPI 1043455686
Clinic/Center - Primary Care in Brooklyn, NY

Active since December 11, 2008
110 4TH AVE, BROOKLYN, NY 11217(646) 202-2968(718) 857-8415 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Litvinova Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITVINOVA MEDICAL PC (NPI 1043455686) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since December 2008. The organization lists Larisa Litvinova, President, as its authorized official.

NPPES Registry Identity

NPI1043455686
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLITVINOVA MEDICAL PC
Location Address110 4TH AVEBrooklyn, NY 11217-2787
Mailing Address110 4th AveBrooklyn, NY 11217-2787 · (646) 202-2968 · Fax (718) 857-8415
Fax(718) 857-8415
Organization SubpartNo
Authorized OfficialLarisa LitvinovaPresident · (646) 202-2968
Enumeration DateDecember 11, 2008
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1043455686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 219127
110 4TH AVE, Brooklyn, NY 11217

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Litvinova Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Litvinova Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1558443739
110 4TH AVE
Brooklyn, NY 11217
(646) 202-2968
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Litvinova Medical PC's NPI number?

The NPI number for Litvinova Medical PC is 1043455686. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Litvinova Medical PC located?

Litvinova Medical PC is located at 110 4th Ave, Brooklyn, NY 11217. The listed phone number is (646) 202-2968.

What is Litvinova Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Litvinova Medical PC enrolled in Medicare?

Yes. Litvinova Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Litvinova Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Litvinova Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Litvinova Medical PC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.