Jack Levenson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N007087 Issued in NY

Practice address

3003 New Hyde Park Rd Ste 312
New Hyde Park, NY 11042-1214

Phone

(516) 492-3515

NPI assigned

Apr 20, 2016

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

93.52

Promoting interoperability

86

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jal9178@direct.nyp.org
• Direct secure messaging: jlevenson69081@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cur Alta Medical Ny PLLC

  • Podiatrist
  • Nanuet, NY
  • NPI 1912641150

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• LGD Podiatric Surgical, PC

  dba Foot & Ankle Surgeons of New York

  • Foot & Ankle Surgery Podiatrist
  • New Hyde Park, NY
  • NPI 1245511559
  Medicare reassignment NPD
• West Village Podiatric Surgical PC

  dba Foot & Ankle Surgeons of New York

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1770905911
  Medicare reassignment NPD
• Cur Alta Medical Ny PLLC

  dba Foot and Ankle Surgeons of New York (FAASNY)

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1457225856

  Foot & Ankle Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1043664659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD STE 312",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "917-213-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD STE 312",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-492-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JACK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Farrington, M.D., PLLC
• Leslie R Kolker OD
• Michael E. Lessin, D.D.S.
• Emily Leung, PHARMD
• Yanina L Levanidova
• Jessy Levin, PH.D., M.P.H.
• Jillian Brooke Levine-Madoff, AU.D. CCC-A
• Bobbi-Jo Rose Levine, MS-NNP
• Jeremiah Levine, MD
• Lance Levine

• Foot & Ankle Surgery Podiatrist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.

Verify at the official NPI Registry.