Individual provider Active NPI

Lilia Levitz, D.O

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1013158179
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257595-1 Issued in NY
Practice address
49 Weed Ave
Staten Island, NY 10306-4922
Phone
(347) 351-5866
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257595-1 NY Primary

Addresses

Primary practice location

49 Weed Ave
Staten Island, NY 10306-4922

Mailing address

49 Weed Ave
Staten Island, NY 10306-4922
Phone (347) 351-5866

Other names 1

  • Miss Lilia Levitz Other name

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
I20101130000198 NY Practitioner - Internal Medicine 1759577976 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257595-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Medical PC Internal Medicine CurrentSince Sep 6, 2010 Accepting new patients

Locations

1749 E 16th St
Ste 1
Brooklyn, NY 11229
Phone (718) 375-2333

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1013158179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WEED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064922",
            "telephone_number": "347-351-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WEED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064922",
            "telephone_number": "347-351-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITZ",
        "first_name": "LILIA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257595-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "LEVITZ",
            "prefix": "MISS",
            "credential": "D.O",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.