Active NPI
Stanley Ira Levinger, O.D.
- Optometrist
- Teaneck, NJ
National Provider Identifier
1013040328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00359700
- Practice address
- 502B Cedar LN
Teaneck, NJ 07666-1713 - Phone
- (201) 836-5644
- Fax
- (201) 836-5699
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00359700 | NJ | Primary |
Addresses
Primary practice location
502B Cedar LN
Teaneck, NJ 07666-1713
Mailing address
502B Cedar LN
Teaneck, NJ 07666-1713
Phone (201) 836-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2704307 | Medicaid | NJ |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
502 B Cedar LN
Teaneck, NJ 07666-1713
Phone (201) 836-5644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00359700 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley I Levinger OD PA | Current | Accepting new patients |
Locations
502B Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-5644
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Teaneck, NJ
- NPI 1962688069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1013040328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502B CEDAR LN",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661713",
"telephone_number": "201-836-5644",
"fax_number": "201-836-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502B CEDAR LN",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661713",
"telephone_number": "201-836-5644",
"fax_number": "201-836-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINGER",
"first_name": "STANLEY",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00359700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2704307",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.