Active NPI
Ivan Karl Levenson, OCCUPATIONAL THERAPY
- Occupational Therapist
- N Lynbrook, NY
National Provider Identifier
1093377327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- Sunrise of Lynbrook
53 Frankling Ave
N Lynbrook, NY 11563 - Phone
- (631) 874-3032
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
Sunrise of Lynbrook
53 Frankling Ave
N Lynbrook, NY 11563
Mailing address
5 Teeview CT
Manorville, NY 11949-0001
Phone (631) 874-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001918 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1093377327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TEEVIEW CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119490001",
"telephone_number": "631-874-3032",
"fax_number": "631-874-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNRISE OF LYNBROOK",
"address_2": "53 FRANKLING AVE",
"city": "N LYNBROOK",
"state": "NY",
"postal_code": "11563",
"telephone_number": "631-874-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENSON",
"first_name": "IVAN",
"middle_name": "KARL",
"name_prefix": "Mr.",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.