Individual provider Active NPI

Diana Levina, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1114017472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
234232 Issued in NY
Practice address
2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone
(718) 891-4400
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 234232 NY Primary

Addresses

Primary practice location

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762

Mailing address

1311 Brightwater Ave
Suite # 10H
Brooklyn, NY 11235-5962
Phone (718) 891-7158

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
I20060106000801 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0446273247 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234232NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Geriatric Medical Care PC Geriatric Medicine CurrentSince Jan 11, 2012 Accepting new patients
Hamilton Park Multicare Past Accepting new patients
St. Marks Brooklyn Associates LLC Past Accepting new patients
Saint Joachim & Anne Nursing and Rehabilitation Center Past Accepting new patients

Locations

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

Organizations & group practices 5

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114017472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BRIGHTWATER AVE",
            "address_2": "SUITE # 10H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355962",
            "telephone_number": "718-891-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINA",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "234232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.