Active NPI
Marie R Levine, OD
- Optometrist
- Rutherford, NJ
National Provider Identifier
1154484079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00423300
- Practice address
- 33 Lincoln Ave
Rutherford, NJ 07070-2167 - Phone
- (201) 438-4418
- Fax
- (201) 438-3082
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00423300 | NJ | Primary |
Addresses
Primary practice location
33 Lincoln Ave
Rutherford, NJ 07070-2167
Mailing address
33 Lincoln Ave
Rutherford, NJ 07070-2167
Phone (201) 438-4418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100721000614 | NJ | Practitioner - Optometry | 6709918022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marie R Levine OD
Practice addresses (Care Compare)
33 Lincoln Ave
Suite 3
Rutherford, NJ 07070-2167
Phone (201) 438-4418
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00423300 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marie R Levine OD | Optometrist | Current | Accepting new patients |
Locations
33 Lincoln Ave
Rutherford, NJ 07070
Phone (201) 438-4418
33 Lincoln Ave
Ste 3
Rutherford, NJ 07070
Phone (201) 438-4418
Organizations & group practices 1
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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1154484079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LINCOLN AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702167",
"telephone_number": "201-438-4418",
"fax_number": "201-438-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LINCOLN AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702167",
"telephone_number": "201-438-4418",
"fax_number": "201-438-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MARIE",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00423300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.