Organization Active NPI

MD Levy MD PLLC

  • Family Medicine Physician
  • Somers, NY
National Provider Identifier
1053163139
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD LEVY MD PLLC
Practice address
380 Route 202 Ste 3
Somers, NY 10589-3223
Phone
(914) 617-8333
Fax
(914) 276-2113
NPI assigned
Apr 3, 2024
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mrs. Christina Mari Burdick
Title
Practice Manager
Phone
(914) 276-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

380 Route 202 Ste 3
Somers, NY 10589-3223

Mailing address

1 Deerfield Rd
Chappaqua, NY 10514
Phone (973) 818-5018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717003981 NY Part B Supplier - Clinic/Group Practice 9335684000 Receives reassigned benefits from 1 practitioner
Practice locations: Somers, NY

National Provider Directory

National Provider Directory

Locations

356 Route 202
Ste 201
Somers, NY 10589
Phone (914) 276-2003

380 Route 202
Ste 3
Somers, NY 10589
Phone (914) 617-8333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1053163139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEERFIELD RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "973-818-5018",
            "fax_number": "914-276-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ROUTE 202 STE 3",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893223",
            "telephone_number": "914-617-8333",
            "fax_number": "914-276-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD LEVY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "914-276-2003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.