Individual provider Active NPI

Alyson Andreasen Levine, M.D.

  • Dermatology Physician
  • Rye, NY
National Provider Identifier
1083811707
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
236817 Issued in NY
Practice address
150 Purchase St Ste 12F
Rye, NY 10580-2143
Phone
(914) 908-3376
Fax
(914) 459-1166
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 055491 CT
Dermatology Physician 207N00000X 236817 NY Primary

Addresses

Primary practice location

150 Purchase St Ste 12F
Rye, NY 10580-2143

Mailing address

150 Purchase St Ste 12F
Rye, NY 10580-2143
Phone (914) 908-3376

Other practice location 1

644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088
Phone (203) 764-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000035 NY Practitioner - Dermatology 8921164658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skinfocused Dermatology LLCGroup PAC ID 8426273590, 3 clinicians

Practice addresses (Care Compare)

150 Purchase St
Suite 12F
Rye, NY 10580-2143
Phone (914) 908-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions127
Skin biopsy57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055491CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skinfocused Dermatology LLC Dermatology CurrentSince Oct 1, 2017 Accepting new patients

Locations

150 Purchase St
Ste 12F
Rye, NY 10580
Phone (914) 374-1385

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083811707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST STE 12F",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802143",
            "telephone_number": "914-908-3376",
            "fax_number": "914-459-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST STE 12F",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802143",
            "telephone_number": "914-908-3376",
            "fax_number": "914-459-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 W Putnam Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068306088",
            "country_code": "US",
            "telephone_number": "203-764-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ALYSON",
        "middle_name": "ANDREASEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "055491",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "236817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.