Organization Active NPI

Ronald S Levandusky MD PC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1073836169
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
111867-1 Issued in NY
Legal business name
RONALD S LEVANDUSKY MD PC
Practice address
2 5TH Ave
Suite 6
New York, NY 10011-8856
Phone
(212) 889-6999
Fax
(212) 473-7856
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Ronald Steven Levandusky, MDNPI 1588703193
Title
President
Phone
(212) 889-6999

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
Plastic Surgery Physician 208200000X 111867-1 NY Primary

Addresses

Primary practice location

2 5TH Ave
Suite 6
New York, NY 10011-8856

Mailing address

2 5TH Ave
Suite 6
New York, NY 10011-8856
Phone (212) 889-6999

Other identifiers 1

IdentifierTypeStateIssuer
00331700MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Union Sq E
#2
New York, NY 10003
Phone (212) 420-3960

Practitioners & affiliated clinicians

Practitioners 3

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": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1073836169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 5TH AVE",
            "address_2": "SUITE 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118856",
            "telephone_number": "212-889-6999",
            "fax_number": "212-473-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 5TH AVE",
            "address_2": "SUITE 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118856",
            "telephone_number": "212-889-6999",
            "fax_number": "212-473-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S LEVANDUSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "LEVANDUSKY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-889-6999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "111867-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00331700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.