Active NPI
Jonathan Levitsky, MD
- Anesthesiology Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 172393
- Practice address
- 265 Herrick Rd
Southampton, NY 11968-5045 - Phone
- (631) 726-8350
- Fax
- (631) 726-8519
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 172393 | NY | Primary |
Addresses
Primary practice location
265 Herrick Rd
Southampton, NY 11968-5045
Mailing address
PO Box 7025
Amagansett, NY 11930-7025
Phone (888) 877-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01355288 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8480
Phone (631) 444-2975
3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-0001
Phone (631) 638-0800
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Forks Medical PC | Anesthesiology | Current | Accepting new patients |
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Anesthesiology | Current | Accepting new patients |
| Advanced Office Anesthesiology Consultants PLLC | Anesthesiology | Past | Accepting new patients |
| East End Pain Management, LLC | Past | Accepting new patients |
Locations
332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
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.
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Anesthesiology Physician
- Hampton Bays, NY
- NPI 1780976639
-
- Anesthesiology Physician
- Hampton Bays, NY
- NPI 1306875216
-
- Pain Medicine (Anesthesiology) Physician
- Southampton, NY
- NPI 1902852247
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1023046539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7025",
"city": "AMAGANSETT",
"state": "NY",
"postal_code": "119307025",
"telephone_number": "888-877-3850",
"fax_number": "631-329-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 HERRICK RD",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685045",
"telephone_number": "631-726-8350",
"fax_number": "631-726-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITSKY",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "172393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01355288",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.