Individual provider Active NPI

David Edward Levy, RN

  • Registered Nurse
  • Fresh Meadows, NY
National Provider Identifier
1053787382
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR15829100 Issued in NJ
Practice address
6909 172ND St
Fresh Meadows, NY 11365-3319
Phone
(347) 256-5044
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15829100 NJ Primary
Administrator Registered Nurse 163WA2000X 534177 NY
Critical Care Medicine Registered Nurse 163WC0200X 534177 NY
Case Management Registered Nurse 163WC0400X RN 9382362 FL
Home Health Registered Nurse 163WH0200X 534177 NY
Hemodialysis Registered Nurse 163WH0500X 534177 NY
Hospice Registered Nurse 163WH1000X 534177 NY
Pain Management Registered Nurse 163WP0000X 534177 NY
School Registered Nurse 163WS0200X 534177 NY

Addresses

Primary practice location

6909 172ND St
Fresh Meadows, NY 11365-3319

Mailing address

6909 172ND St
Fresh Meadows, NY 11365-3319
Phone (347) 256-5044

Other identifiers 1

IdentifierTypeStateIssuer
70691OtherNYIPRO PRI & H/C-PRI ASSESSOR CERTIFICATION-APPROVED BY NY STATE DEPT OF HEALTH

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15829100NJMDRegistered Nurse
534177NYMDAdministrator Registered Nurse
RN 9382362FLMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1053787382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653319",
            "telephone_number": "347-256-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653319",
            "telephone_number": "347-256-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15829100",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN 9382362",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NY",
            "license": "534177",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "534177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPRO PRI & H/C-PRI ASSESSOR CERTIFICATION-APPROVED BY NY STATE DEPT OF HEALTH",
            "identifier": "70691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.