Active NPI
Bruce W Levin, DMD
- General Practice Dentistry
- New York, NY
National Provider Identifier
1083739627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043903
- Practice address
- 45 Rockefeller PLZ Ste 1870
New York, NY 10111-1860 - Phone
- (212) 246-9070
- Fax
- (212) 977-6393
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043903 | NY | Primary |
Addresses
Primary practice location
45 Rockefeller PLZ Ste 1870
New York, NY 10111-1860
Mailing address
45 Rockefeller PLZ Ste 1870
New York, NY 10111-1860
Phone (212) 246-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 16, 2016 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce W. Levin, DMD & Joel Klasfeld, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health Dentistry
- New York, NY
- NPI 1043956261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083739627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 ROCKEFELLER PLZ STE 1870",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101111860",
"telephone_number": "212-246-9070",
"fax_number": "212-977-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ROCKEFELLER PLZ STE 1870",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101111860",
"telephone_number": "212-246-9070",
"fax_number": "212-977-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "BRUCE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043903",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.