Individual provider Active NPI

Jodi Levy, MD

  • Pediatrics Physician
  • Camden, NJ
National Provider Identifier
1003191305
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09138400 Issued in NJ
Practice address
3 Cooper PLZ RM 200
Camden, NJ 08103
Phone
(856) 342-2001
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09138400 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 200
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

714 10th St
Secaucus, NJ 07094-2921
Phone (201) 863-3346

Other practice location 2

714 10th St
Secaucus, NJ 07094-2921
Phone (201) 863-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130528000692 NJ Practitioner - Pediatric Medicine 3971741281 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Pediatrics Pediatrics CurrentSince Dec 14, 2015 Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Cooper Pediatric Specialists, PC Pediatrics Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

1900 Mount Holly Rd
Ste 1B
Burlington, NJ 08016
Phone (609) 239-0306

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

110 Marter Ave
Ste 402
Moorestown, NJ 08057
Phone (856) 234-7073

4 Plaza Dr
Ste 401
Sewell, NJ 08080
Phone (856) 270-4050

6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339

Interoperability endpoints

  • Direct secure messaging: jlevy48507@direct.cooperhealth.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1003191305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-342-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 10th St",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942921",
            "country_code": "US",
            "telephone_number": "201-863-3346",
            "fax_number": "201-863-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 10th St",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942921",
            "country_code": "US",
            "telephone_number": "201-863-3346",
            "fax_number": "201-863-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JODI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09138400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.