Dr Stuart R Levine Dermatology and Dermatologic Surgery PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DR STUART R LEVINE DERMATOLOGY AND DERMATOLOGIC SURGERY PC

Practice address

1717 86 St
Brooklyn, NY 11214-2817

Phone

(718) 331-3122

Fax

(718) 621-4668

NPI assigned

Jun 30, 2010

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart R Levine, DONPI 1386622579

Title

Owner

Phone

(718) 331-3122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Stuart R Levine, DO

  • Dermatology Physician
  • Rockville Centre, NY
  • NPI 1386622579
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Rachel Well, R.N., CRNP

  • Family Nurse Practitioner
  • Rockville Centre, NY
  • NPI 1699989871
  Medicare reassignment Care Compare group NPD
• Kaila Madison Aiola

  • Physician Assistant
  • Rockville Centre, NY
  • NPI 1982332045
  Medicare reassignment Care Compare group
• David Jeffrey Antell, D.O.

  • Plastic Surgery Physician
  • Woodbury, NY
  • NPI 1588734735
  Medicare reassignment NPD
• David Hermogenes Ciocon, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hackensack, NJ
  • NPI 1790878866

  Dermatology, NY

  Medicare reassignment NPD
• Sophia Reid, M.D.

  • Dermatology Physician
  • Park Ridge, NJ
  • NPI 1265877161

  NY, Single Specialty

  Medicare reassignment NPD
• Angela Marie Leo, DO

  • Dermatology Physician
  • New York, NY
  • NPI 1003084138
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1053622464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 86 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142817",
            "telephone_number": "718-331-3122",
            "fax_number": "718-621-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 86 ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142817",
            "telephone_number": "718-331-3122",
            "fax_number": "718-621-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STUART R LEVINE DERMATOLOGY AND DERMATOLOGIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-331-3122",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.