Individual provider Active NPI

Stanley Ira Levinger, O.D.

  • Optometrist
  • Teaneck, NJ
National Provider Identifier
1013040328
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00359700 Issued in NJ
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

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2704307MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000411 NJ Practitioner - Optometry 2567584741 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
27OA00359700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley I Levinger OD PA CurrentSince Jan 1, 1989 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.

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

Verify at the official NPI Registry.