Active NPI
Jennifer Dawn McLevy-Bazzanella, MD
- Pediatric Otolaryngology Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 318155-01
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 693-7636
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 436967 | PA | |
| Pediatric Otolaryngology Physician | 207YP0228X | 318155-01 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
89 Eunice Ave
Fairfield, CT 06824-6820
Phone (916) 508-6169
Other practice location 1
51 N Dunlap St
G10
Memphis, TN 38105-4625
Phone (901) 287-4400
Other names 1
- Dr. Jennifer Dawn McLevy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Bradhurst Ave
Hawthorne, NY 10532-2140
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Westchester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318155 | NY | MD | Licensed Practical Nurse |
| 318155-01 | NY | MD | Pediatric Otolaryngology Physician |
| 436967 | PA | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatric Otolaryngology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jennifer.mclevy.p6@direct.uthsc.nextgenshare.com
- mclevyj@hiemail.healtheconnections.org
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 5
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatric Otolaryngology
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1003890807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 EUNICE AVE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246820",
"telephone_number": "916-508-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-693-7636"
}
],
"practiceLocations": [
{
"address_1": "51 N Dunlap St",
"address_2": "G10",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381054625",
"country_code": "US",
"telephone_number": "901-287-4400",
"fax_number": "901-287-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEVY-BAZZANELLA",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2022-08-31",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "PA",
"license": "436967",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "318155-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MCLEVY",
"middle_name": "DAWN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.