Roger G Levine MD

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

172860 Issued in NY

Legal business name

ROGER G LEVINE MD

Practice address

4914 West Seneca Turnpkie
Syracuse, NY 13215

Phone

(315) 469-2827

Fax

(888) 224-8297

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger G LevineNPI 1245241181

Title

Owner

Phone

(315) 469-2827

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Roger G Levine, MD

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1245241181
  NPD (past) Authorized official
• Johanna D Tarallo, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1164561536
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1083004907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 WEST SENECA TURNPKIE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-469-2827",
            "fax_number": "888-224-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 WEST SENECA TURNPKIE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-469-2827",
            "fax_number": "888-224-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER G LEVINE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-469-2827",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NY",
            "license": "172860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yudelka Rodriguez
• Brittany Marie Roe, OTR/L
• Kathleen Mary Roesch
• Jessica Rogala, LPN, RN
• Elizabeth Rogalia, LCSW
• Brandi Danielle Rogers
• Brendan Michael Rogers, MD
• Carol J Rogers, NP
• Deborah W Rogers, LCSW-R
• Dillon Rogers

• Psychiatric Residential Treatment Facility in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.