Shawn Tepper-Levine, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

25MB07928000 Issued in NJ

Practice address

20 Heathcote Road
Kingston, NJ 08528-0142

Phone

(609) 924-0496

Fax

(609) 945-2535

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174742704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085280142",
            "telephone_number": "609-924-0496",
            "fax_number": "609-945-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HEATHCOTE ROAD",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085280142",
            "telephone_number": "609-924-0496",
            "fax_number": "609-945-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER-LEVINE",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB07928000",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "225372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lorant, LCSW
• James L Mastrich Jr., ED.D.
• Randy Robert Radd, MSW, LCSW
• Todd E Stevens, D.P.M.
• Sandeep Teotia, D.M.D
• David Philip Young, D.M.D.

• Neuromusculoskeletal Medicine & OMM Physician in Kingston, NJ
• Providers in Kingston, NJ by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.