Individual provider Active NPI

Marie R Levine, OD

  • Optometrist
  • Rutherford, NJ
National Provider Identifier
1154484079
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00423300 Issued in NJ
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

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

Practice addresses (Care Compare)

33 Lincoln Ave
Suite 3
Rutherford, NJ 07070-2167
Phone (201) 438-4418

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00423300NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marie R Levine OD Optometrist CurrentSince Nov 1, 1983 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

Verify at the official NPI Registry.