Active NPI
Robert H. Leviton, M.D.
- Emergency Medicine Physician
- Bronx, NY
National Provider Identifier
1164590139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 156966
- Practice address
- 1276 Fulton Ave
Bronx, NY 10456-3402 - Phone
- (718) 579-3961
- Fax
- (718) 579-3963
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 156966 | NY | Primary |
Addresses
Primary practice location
1276 Fulton Ave
Bronx, NY 10456-3402
Mailing address
1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 579-3961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00872326 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Our Lady of Mercy Medical Center | Emergency Medicine | Past | Accepting new patients |
| Our Lady of Mercy Medical Center | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Bronx, NY
- NPI 1669412847
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1235137431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1164590139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-579-3961",
"fax_number": "718-579-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-579-3961",
"fax_number": "718-579-3963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITON",
"first_name": "ROBERT",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "156966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00872326",
"state": "NY"
}
],
"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 Nov 23, 2011; 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.