LEONID IZRAYELIT MEDICAL P.C.
NPI 1720435845
Psychologist - Health Service in Forest Hill, NY

Active since May 18, 2016
84-37 MAIN STREET, FOREST HILL, NY 11375(718) 807-8805 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Leonid Izrayelit Medical P.c. NPPES

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

LEONID IZRAYELIT MEDICAL P.C. (NPI 1720435845) is a healthcare organization registered as a health service in Forest Hill, New York and active in the NPI registry since May 2016. The organization lists Leonid Izrayelit, Owner, as its authorized official.

NPPES Registry Identity

NPI1720435845
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameLEONID IZRAYELIT MEDICAL P.C.
Location Address84-37 MAIN STREETForest Hill, NY 11375
Mailing Address84-37 Main StForest Hill, NY 11375 · (718) 807-8805
Organization SubpartNo
Authorized OfficialLeonid IzrayelitOwner · (917) 650-0314
Enumeration DateMay 18, 2016
✔ NPI 1720435845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in NY · 207397
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
84-37 MAIN STREET, Forest Hill, NY 11375

Other Identifiers 1

Medicare PIN06275NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leonid Izrayelit Medical P.c. 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 Leonid Izrayelit Medical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1851486088
11215 72ND RD SUITE LL1
Forest Hills, NY 11375
(718) 261-3577
✔ PECOS✔ Accepts Medicare1.2 mi

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 Leonid Izrayelit Medical P.C.'s NPI number?

The NPI number for Leonid Izrayelit Medical P.C. is 1720435845. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Leonid Izrayelit Medical P.C. located?

Leonid Izrayelit Medical P.C. is located at 84-37 Main Street, Forest Hill, NY 11375. The listed phone number is (718) 807-8805.

What is Leonid Izrayelit Medical P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Leonid Izrayelit Medical P.C. enrolled in Medicare?

Yes. Leonid Izrayelit Medical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leonid Izrayelit Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Leonid Izrayelit Medical P.C.. 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 Leonid Izrayelit Medical P.C. was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.