Organization Active NPI

Behavioral Medical

  • Research Study Specialist
  • Staten Island, NY
National Provider Identifier
1205017183
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
1068051 Issued in NY
Legal business name
BEHAVIORAL MEDICAL
Practice address
500 Seaview Ave
Suite 200a
Staten Island, NY 10305-3403
Phone
(718) 351-8100
Fax
(718) 351-4560
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Michael T. Levy, M.D.
Title
President
Phone
(718) 351-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1744R1102X 1068051 NY Primary

Addresses

Primary practice location

500 Seaview Ave
Suite 200a
Staten Island, NY 10305-3403

Mailing address

500 Seaview Ave
Suite 200a
Staten Island, NY 10305-3403
Phone (718) 351-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1205017183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SEAVIEW AVE",
            "address_2": "SUITE 200A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053403",
            "telephone_number": "718-351-8100",
            "fax_number": "718-351-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SEAVIEW AVE",
            "address_2": "SUITE 200A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053403",
            "telephone_number": "718-351-8100",
            "fax_number": "718-351-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-351-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "state": "NY",
            "license": "1068051",
            "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 Nov 19, 2007; 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.