Active NPI
Lewis Levin MD LLC
- Family Medicine Physician
- Meriden, CT
National Provider Identifier
1063662807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 017559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080184851 | Other | CT | RAILROAD MEDICARE |
| 001175595 | Medicaid | CT | |
| 010017559CT01 | Other | CT | BLUE CROSS |
Other names 1
- Lewis Levin MD
National Provider Directory
National Provider DirectoryLocations
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.