Individual provider Active NPI

Marc Thomas Levatino, RPH

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1194542118
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
071941 Issued in NY
Practice address
2110 Richmond Rd
Staten Island, NY 10306-2576
Phone
(718) 351-7363
NPI assigned
Sep 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 071941 NY Primary

Addresses

Primary practice location

2110 Richmond Rd
Staten Island, NY 10306-2576

Mailing address

70 Grasmere Ave
Staten Island, NY 10305-1565
Phone (917) 213-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
071941NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Todt Hill Pharmacy Inc CurrentSince Sep 23, 2024 Accepting new patients

Locations

2110 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-7363

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": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1194542118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRASMERE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051565",
            "telephone_number": "917-213-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062576",
            "telephone_number": "718-351-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVATINO",
        "first_name": "MARC",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.