Organization Active NPI

Lewis Levin MD LLC

  • Family Medicine Physician
  • Meriden, CT
National Provider Identifier
1063662807
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017559 Issued in CT
Legal business name
LEWIS LEVIN MD LLC
Practice address
54 High St
Meriden, CT 06450-5740
Phone
(203) 238-7646
Fax
(203) 238-0225
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Lewis Levin, MD
Title
Owner
Phone
(203) 238-7646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 017559 CT Primary

Addresses

Primary practice location

54 High St
Meriden, CT 06450-5740

Mailing address

54 High St
Meriden, CT 06450-5740
Phone (203) 238-7646

Other identifiers 3

IdentifierTypeStateIssuer
080184851OtherCTRAILROAD MEDICARE
001175595MedicaidCT
010017559CT01OtherCTBLUE CROSS

Other names 1

  • Lewis Levin MD Other name

National Provider Directory

National Provider Directory

Locations

1187 Highland Ave
Cheshire, CT 06410

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1063662807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HIGH ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505740",
            "telephone_number": "203-238-7646",
            "fax_number": "203-238-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HIGH ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505740",
            "telephone_number": "203-238-7646",
            "fax_number": "203-238-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS LEVIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-238-7646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "017559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080184851",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001175595",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010017559CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Levin MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.