Active NPI
Denise Antoinette Levy, DPM
- Podiatrist
- Bronx, NY
National Provider Identifier
1154417111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0059131
- Practice address
- 176 E Mosholu Pkwy S
Bronx, NY 10458-1174 - Phone
- (718) 824-0183
- Fax
- (718) 239-8112
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0059131 | NY | Primary |
Addresses
Primary practice location
176 E Mosholu Pkwy S
Bronx, NY 10458-1174
Mailing address
176 E Mosholu Pkwy S
Bronx, NY 10458-1174
Phone (718) 824-0183
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0059131 | Other | LICENSE | |
| 02338663 | Medicaid | NY | |
| 3826432 | Other | AETNA HMO | |
| 6265907 | Other | BCBS HMO PPO | |
| 421592 | Other | GUARDIAN | |
| 7179688 | Other | AETNA TRADITIONAL | |
| 476170 | Other | PHCS | |
| 8344176 | Other | CIGNA | |
| P2956205 | Other | OXFORD |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Montefiore Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 52 |
| Removal of nail tissue | 12 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0059131 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Mosholu Medical Associates PC | Past | Accepting new patients | |
| Robert L Plummer MD Facs PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- Bronx, NY
- NPI 1285869677
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1225216500
-
- Surgery Physician
- Bronx, NY
- NPI 1487810289
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154417111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 E MOSHOLU PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104581174",
"telephone_number": "718-824-0183",
"fax_number": "718-239-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 E MOSHOLU PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104581174",
"telephone_number": "718-824-0183",
"fax_number": "718-239-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "DENISE",
"middle_name": "ANTOINETTE",
"name_prefix": "Ms.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0059131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "N0059131",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02338663",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3826432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HMO PPO",
"identifier": "6265907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "421592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA TRADITIONAL",
"identifier": "7179688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "476170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8344176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2956205",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.