Organization Active NPI

David Andre' Levi, M.D. Pediatrics, PLLC

Doing business as Hudson River Pediatrics

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1063788115
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
210287 Issued in NY
Legal business name
DAVID ANDRE' LEVI, M.D. PEDIATRICS, PLLC
Doing business as
Hudson River Pediatrics
Practice address
984 North Broadway
Suite315
Yonkers, NY 10701
Phone
(914) 965-3670
Fax
(914) 965-7857
NPI assigned
Mar 22, 2012
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. David Andre' Levi, M.D.NPI 1134160799
Title
Owner
Phone
(914) 965-3670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 210287 NY Primary

Addresses

Primary practice location

984 North Broadway
Suite315
Yonkers, NY 10701

Mailing address

984 North Broadway Suite 315
Hudson River Pediatrics
Yonkers, NY 10701
Phone (914) 965-3670

Other identifiers 1

IdentifierTypeStateIssuer
02580707MedicaidNY

Other names 1

  • Hudson River Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2332328Hudson River Pediatrics Div of Boston984 N Broadway - Ste 315, Yonkers, NY 10701Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1063788115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 NORTH BROADWAY SUITE 315",
            "address_2": "HUDSON RIVER PEDIATRICS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-965-3670",
            "fax_number": "914-965-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 NORTH BROADWAY",
            "address_2": "SUITE315",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-965-3670",
            "fax_number": "914-965-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ANDRE' LEVI, M.D. PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDRE'",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-965-3670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "210287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02580707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson River Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.