Individual provider Active NPI

Randy Douglas Levine, D.C.

  • Chiropractor
  • Trenton, NJ
National Provider Identifier
1043238173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00453900 Issued in NJ
Practice address
320 White Horse Ave
Trenton, NJ 08610-1412
Phone
(609) 525-9222
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00453900 NJ Primary

Addresses

Primary practice location

320 White Horse Ave
Trenton, NJ 08610-1412

Mailing address

320 White Horse Ave
Trenton, NJ 08610-1412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000336 NJ Practitioner - Chiropractic 9436291028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Capule LLCGroup PAC ID 6204069404, 2 clinicians

Practice addresses (Care Compare)

225 Hwy 35 N
Suite 204
Red Bank, NJ 07701-5934
Phone (732) 530-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Chiropractor Center, a Professional Association Chiropractor CurrentSince Dec 26, 2009 Accepting new patients
Capule, LLC CurrentSince Mar 13, 2017 Accepting new patients

Locations

225 Highway 35
Ste 204
Red Bank, NJ 07701
Phone (732) 530-7700

320 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 525-9222

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043238173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WHITE HORSE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WHITE HORSE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101412",
            "telephone_number": "609-525-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RANDY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00453900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.