Active NPI
Gary Alan Levitt, RN
- Registered Nurse
- Lindenhurst, NY
National Provider Identifier
1043469117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 533606
- Practice address
- 109 Riviera Pkwy
Lindenhurst, NY 11757-6116 - Phone
- (631) 412-5512
- NPI assigned
- Sep 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 031276 | NY | |
| Registered Nurse | 163W00000X | 533606 | NY | Primary |
Addresses
Primary practice location
109 Riviera Pkwy
Lindenhurst, NY 11757-6116
Mailing address
1003 Dolphin LN
Holbrook, NY 11741-6209
Phone (631) 327-9753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 533606 | NY | MD | Registered Nurse |
| 031276 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1043469117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 DOLPHIN LN",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117416209",
"telephone_number": "631-327-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 RIVIERA PKWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117576116",
"telephone_number": "631-412-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITT",
"first_name": "GARY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "031276",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "533606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.