PROSPECT LEFFERTS GARDENS MEDICAL PC
NPI 1881914240
Clinic/Center - Primary Care in Brooklyn, NY
About Prospect Lefferts Gardens Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROSPECT LEFFERTS GARDENS MEDICAL PC (NPI 1881914240) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since June 2010. The organization lists Audanis Vertus, Medical Director/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prospect Lefferts Gardens 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 Prospect Lefferts Gardens Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Prospect Lefferts Gardens Medical PC's NPI number?
The NPI number for Prospect Lefferts Gardens Medical PC is 1881914240. It was assigned to this organization in the NPPES registry on June 9, 2010.
Where is Prospect Lefferts Gardens Medical PC located?
Prospect Lefferts Gardens Medical PC is located at 309 Winthrop St, Brooklyn, NY 11225. The listed phone number is (718) 593-7770.
What is Prospect Lefferts Gardens Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prospect Lefferts Gardens Medical PC enrolled in Medicare?
Yes. Prospect Lefferts Gardens Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prospect Lefferts Gardens Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prospect Lefferts Gardens 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 Prospect Lefferts Gardens Medical PC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Prospect Lefferts Gardens Medical Pc · NPI 1881914240
Primary Care organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since June 9, 2010.
## Identity
- **NPI:** 1881914240 (Entity type: Organization)
- **Enumerated:** June 9, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Audanis Vertus, MEDICAL DIRECTOR/ OWNER
## Practice location
- **Address:** 309 WINTHROP ST, Brooklyn, NY 11225-3813
- **Phone:** (718) 593-7770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881914240) · Data from the CMS NPPES public registry.