Individual provider Active NPI

Marc Steven Levitt, M.D.

  • Internal Medicine Physician
  • Massapequa Park, NY
National Provider Identifier
1043217987
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
141701 Issued in NY
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

Updated by the provider on Feb 12, 2021

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 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

IdentifierTypeStateIssuer
00743453MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419001043 NY Practitioner - Internal Medicine 7113912122 Reassigns benefits to 2 organizations
Practice locations: Massapequa Park, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141701NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Dec 18, 2020 Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Dec 18, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.