Individual provider Active NPI

Lois Beth Levine, DDS

  • Periodontics
  • Wantagh, NY
National Provider Identifier
1194944348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
039318 Issued in NY
Practice address
3366 Park Ave
Wantagh, NY 11793-3718
Phone
(516) 826-4949
Fax
(516) 826-2707
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 039318 NY Primary

Addresses

Primary practice location

3366 Park Ave
Wantagh, NY 11793-3718

Mailing address

3366 Park Ave
Wantagh, NY 11793-3718
Phone (516) 826-4949

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406001893 NY Order and Referring Only - DentistPractitioner - Dentist 1355669219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039318NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Long Island Periodontics and Implantology Periodontics PastSince Mar 11, 2025 Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194944348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-826-4949",
            "fax_number": "516-826-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-826-4949",
            "fax_number": "516-826-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LOIS",
        "middle_name": "BETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "039318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.