Active NPI
Jeffrey Gregg Levine, MD
- Gastroenterology Physician
- Lafayette Hill, PA
National Provider Identifier
1053578088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD064045L
- Practice address
- 10 Cherry CT
Lafayette Hill, PA 19444-2517 - Phone
- (610) 564-3011
- Fax
- (812) 461-0966
- NPI assigned
- May 19, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME138384 | FL | |
| Gastroenterology Physician | 207RG0100X | MD064045L | PA | Primary |
Addresses
Primary practice location
10 Cherry CT
Lafayette Hill, PA 19444-2517
Mailing address
10 Cherry CT
Lafayette Hill, PA 19444-2517
Phone (610) 564-3011
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138384 | FL | MD | Gastroenterology Physician |
| MD064045L | PA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1053578088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHERRY CT",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194442517",
"telephone_number": "610-564-3011",
"fax_number": "812-461-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHERRY CT",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194442517",
"telephone_number": "610-564-3011",
"fax_number": "812-461-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JEFFREY",
"middle_name": "GREGG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME138384",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD064045L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.