Individual provider Active NPI

Michelle Levins

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1154853661
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
729802 Issued in NY
Practice address
1047 Surf Ave
Brooklyn, NY 11224-2810
Phone
(212) 776-9090
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01266500 NJ
Registered Nurse 163W00000X 26NR22651600 NJ
Adult Health Nurse Practitioner 363LA2200X F308190 NY
Registered Nurse 163W00000X 729802 NY Primary

Addresses

Primary practice location

1047 Surf Ave
Brooklyn, NY 11224-2810

Mailing address

275 7TH Ave
2 FL
New York, NY 10001-6708
Phone (212) 675-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171116001635 NY Practitioner - Nurse Practitioner 4688930175 Reassigns benefits to 2 organizations
I20220304000126 NJ Practitioner - Nurse Practitioner 4688930175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Specialty Infusion of NJ PCGroup PAC ID 2860881554, 5 clinicians
Nyc Medical Infusion PCGroup PAC ID 3678834157, 12 clinicians
Infusion Care Providers of AmericaGroup PAC ID 4385019090, 5 clinicians
Civic Medicine, PLLCGroup PAC ID 0345660254, 9 clinicians

Practice addresses (Care Compare)

116 Millburn Ave
Suite 108
Millburn, NJ 07041-1919
Phone 2122498202302

175 E 96TH St
New York, NY 10128-6200
Phone (212) 776-9090

1800 Chapel Ave W
Suite 303 Icpa Cherry Hill
Cherry Hill, NJ 08002-4605
Phone (856) 554-0500

400 Columbus Ave
Suite 105S
Valhalla, NY 10595-1368
Phone (203) 883-0038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
729802NYMDRegistered Nurse
26NJ01266500NJMDAdult Health Nurse Practitioner
F308190NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Infusion of NJ PC CurrentSince Mar 1, 2022 Accepting new patients
Civic Medicine, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Nyc Medical Infusion PC CurrentSince Mar 11, 2019 Accepting new patients
Infusion Care Providers of America CurrentSince Oct 1, 2023 Accepting new patients
Civic Wilton, PLLC PastSince Oct 1, 2023 Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 Accepting new patients

Locations

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

1800 Chapel Ave W
Ste 303
Cherry Hill, NJ 08002
Phone (610) 495-6800

557 Cranbury Rd
Ste 17
East Brunswick, NJ 08816
Phone (732) 257-4008

116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202

120 N Route 17
Ste 200
Paramus, NJ 07652

100 Canal Pointe Blvd
Ste 112
Princeton, NJ 08540
Phone (609) 243-8711

1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220

1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202

1047 Surf Ave
Ste 2
Brooklyn, NY 11224

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

5663 E Circle Dr
Cicero, NY 13039
Phone (315) 214-0004

546 Towne Dr
Fayetteville, NY 13066

279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

175 E 96th St
New York, NY 10128
Phone (646) 979-2900

5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870

1865 S Clinton Ave
Ste 160
Rochester, NY 14618

999 E Ridge Rd
Ste 13
Rochester, NY 14621

78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505

175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873

400 Columbus Ave
Valhalla, NY 10595
Phone (203) 883-0038

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

2 Westchester Park Dr
Ste 101A
White Plains, NY 10604

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1154853661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 7TH AVE",
            "address_2": "2 FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016708",
            "telephone_number": "212-675-9332",
            "fax_number": "212-604-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "212-776-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01266500",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22651600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308190",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "729802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.