Individual provider Active NPI

Michael Jason Levine, MD

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1003948464
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
242691 Issued in NY
Practice address
1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021
Phone
(516) 869-5400
Fax
(516) 869-5800
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242691 NY
Cardiovascular Disease Physician 207RC0000X 242691 NY Primary

Addresses

Primary practice location

1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021

Mailing address

1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021
Phone (516) 869-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlevine43629@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20121127000724 NY Practitioner - Cardiovascular Disease (Cardiology) 5890946776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
New York University Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
New York University Cardiovascular Disease PastSince Apr 3, 2022 Accepting new patients
Ronnie a. Hershman, M.D., PLLC Cardiovascular Disease Past Accepting new patients

Locations

1999 Marcus Ave
Ste 220
New Hyde Park, NY 11042
Phone (516) 335-5525

1 Hollow Ln
Ste 103
New Hyde Park, NY 11042
Phone (516) 869-5400

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mlevine43629@nyumc.direct-ci.com

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1003948464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 220",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-869-5400",
            "fax_number": "516-869-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 220",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-869-5400",
            "fax_number": "516-869-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242691",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "242691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlevine43629@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1999 Marcus Ave Ste 220",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.