Brad A Levine, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

040521 Issued in NY

Practice address

14 Maple St
Port Washington, NY 11050-2946

Phone

(516) 767-9300

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brad Levine DMD PC

  • Dental Clinic/Center
  • Port Washington, NY
  • NPI 1518238542
  Medicare reassignment NPD
• Barry Greenfield DDS PC

  • Dental Clinic/Center
  • Staten Island, NY
  • NPI 1417220443
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1144203613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BRAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "040521",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "040521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ha Young Lee, PHARM.D
• Michelle Ilyse Lefcourt, PT
• Elyse Beth Lemonda
• Alicia Marie Leporati, LMHC
• Jason K Leung, RPH
• David Craig Levine, MD
• Jesse Bernard Levine, PH.D.
• Melvin Levine
• Robin Levinsohn, MA, CCC/SLP
• Eric John Levinson, MSW

• Endodontics in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.