Active NPI
Marc Steven Levitt, M.D.
- Internal Medicine Physician
- Massapequa Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 141701
- Practice address
- 135 Park Blvd
Massapequa Park, NY 11762-3643 - Phone
- (516) 795-9090
- Fax
- (516) 795-6478
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 141701 | NY | Primary |
Addresses
Primary practice location
135 Park Blvd
Massapequa Park, NY 11762-3643
Mailing address
135 Park Blvd
P. O. Box 308
Massapequa Park, NY 11762-3643
Phone (516) 795-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00743453 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlevitt230536@nyumc.direct-ci.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141701 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Associates, PC | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Associates, PC | Internal Medicine | Current | Accepting new patients |
| White Oaks Rehabilitation and Nursing Center | Past | Accepting new patients |
Locations
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
585 Broadway
Massapequa, NY 11758
Phone (516) 360-2020
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910
21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500
243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247
Interoperability endpoints
- mlevitt230536@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Oakland Gardens, NY
- NPI 1619188489
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Internal Medicine Physician
- Selden, NY
- NPI 1134658693
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Skilled Nursing Facility
- Woodbury, NY
- NPI 1790772150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1043217987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 PARK BLVD",
"address_2": "P. O. BOX 308",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623643",
"telephone_number": "516-795-9090",
"fax_number": "516-795-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 PARK BLVD",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623643",
"telephone_number": "516-795-9090",
"fax_number": "516-795-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITT",
"first_name": "MARC",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "141701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00743453",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlevitt230536@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "585 Broadway",
"city": "Massapequa",
"state": "NY",
"country_code": "US",
"postal_code": "117585023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.