Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Lilov

Individual provider Physician Assistant · NPI 1639408032

Michael Lilov is a Physician Assistant in Brooklyn, New York. Qualified in 1998, 28 years ago. Practices with Maimonides Faculty Practice Plan, a 246-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219
Phone: (718) 283-7955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006771-1 (NY)

Record details

NPI number1639408032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2009
Last updated in NPPESDecember 14, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Maimonides Faculty Practice Plan — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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