Active NPI
Charles King Levin, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Purchase, NY
National Provider Identifier
1043775083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 063253
- Practice address
- 3010 Westchester Ave Ste 306
Purchase, NY 10577-2524 - Phone
- (914) 253-9088
- NPI assigned
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 063253 | NY | Primary |
Addresses
Primary practice location
3010 Westchester Ave Ste 306
Purchase, NY 10577-2524
Mailing address
3010 Westchester Ave Ste 306
Purchase, NY 10577-2524
Phone (914) 253-9088
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Greenwich Oral and Maxillofacial Surgery Associates, P.C. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
50 E 69th St
New York, NY 10021
Phone (212) 570-4000
Interoperability endpoints
- ckl7001@direct.nyp.org
Organizations & group practices 3
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.
-
- Surgery Physician
- New York, NY
- NPI 1669579017
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Oral and Maxillofacial Surgery (Dentist)
- Greenwich, CT
- NPI 1073633426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1043775083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 WESTCHESTER AVE STE 306",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772524",
"telephone_number": "914-253-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 WESTCHESTER AVE STE 306",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772524",
"telephone_number": "914-253-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "CHARLES",
"middle_name": "KING",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "063253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.