Individual provider Active NPI

Roni Levy

  • Specialist
  • Franklin Square, NY
National Provider Identifier
1013467638
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041014 Issued in NY
Practice address
72 Franklin Ave
Franklin Square, NY 11010-2528
Phone
(516) 437-5300
NPI assigned
Oct 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Specialist 174400000X 041014 NY Primary

Addresses

Primary practice location

72 Franklin Ave
Franklin Square, NY 11010-2528

Mailing address

7316 Utopia Pkwy
Fresh Meadows, NY 11366-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000724 NY Practitioner - Physical Therapist in Private Practice 6608156369 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041014NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC CurrentSince Mar 20, 2018 Accepting new patients
Home Advantage Physical Therapy PC CurrentSince Jan 5, 2019 Accepting new patients
Esd PT OT & SLP PLLC CurrentSince Sep 1, 2019 Accepting new patients
Peter Chaplin PT PC PastSince Mar 20, 2013 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

2632 Atlantic Ave
#13202
Brooklyn, NY 11207

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1013467638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102528",
            "telephone_number": "516-437-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RONI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "041014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.