Individual provider Active NPI

Allan A Levin, MD

  • Otolaryngology Physician
  • Forest Hills, NY
National Provider Identifier
1093750267
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
135513 Issued in NY
Practice address
11120 Queens Blvd
Forest Hills, NY 11375-6303
Phone
(718) 830-0707
Fax
(718) 544-4240
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 135513 NY Primary

Addresses

Primary practice location

11120 Queens Blvd
Forest Hills, NY 11375-6303

Mailing address

11120 Queens Blvd
Forest Hills, NY 11375-6303
Phone (718) 830-0707

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
I20051230000047 NY Practitioner - Otolaryngology 9638191919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

Merit-based Incentive Payment System (MIPS)

Final score
4.18 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135513NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Medical Services, P.C. CurrentSince May 1, 2018 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince May 1, 2012 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
New York University Past Accepting new patients
Boro Medical, P.C. Otolaryngology Past Accepting new patients
Allan Levin, MD, PC Otolaryngology Past Accepting new patients

Locations

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

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

Interoperability endpoints

  • Direct secure messaging: allanlevin@whmc.allscriptsdirect.net

Organizations & group practices 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1093750267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756303",
            "telephone_number": "718-830-0707",
            "fax_number": "718-544-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756303",
            "telephone_number": "718-830-0707",
            "fax_number": "718-544-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ALLAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "135513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.