Individual provider Active NPI

Gabriel S Levi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1205834140
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA10812200 Issued in NJ
Practice address
1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8699
Fax
(908) 673-7388
NPI assigned
Jul 13, 2005
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 188765 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA10812200 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other practice location 1

10 Nathan D Perlman Pl
Ste. 12S34
New York, NY 10003-3851
Phone (212) 420-2124

Other identifiers 2

IdentifierTypeStateIssuer
A400062328OtherNYNGS
01629372MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061218000112 NY Practitioner - Pathology 8921007113 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Michigan Medical School, 1990
Medicare assignment
May accept Medicare assignment
Group practices
JRR Medical PCGroup PAC ID 8820320690, 2 clinicians
Gastroenterology and Liver Associates of Riverdale PCGroup PAC ID 1456529098, 6 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8014

2569 Ocean Ave
Suite 3
Brooklyn, NY 11229-4576
Phone (718) 645-7020

3333 Henry Hudson Pkwy
Bronx, NY 10463-3224
Phone (718) 796-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10812200NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology and Liver Associates of Riverdale PC CurrentSince Feb 3, 2016 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2023 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology CurrentSince May 6, 2017 Accepting new patients
Gil I Ascunce MD PC CurrentSince Dec 1, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
NG Medical PLLC CurrentSince Jun 1, 2017 Accepting new patients
Manhattan Medical Partners, P.L.L.C. CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2023 Accepting new patients
Fpa Hospital Based CurrentSince May 6, 2017 Accepting new patients
JRR Medical PC CurrentSince Oct 10, 2024 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Oct 1, 2024 Accepting new patients
Mount Sinai School of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jan 1, 2020 Accepting new patients
Mount Sinai School of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Yorkville Medical Associates PLLC Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1 Diamond Hill Rd
Fl G
Berkeley Heights, NJ 07922
Phone (908) 277-8699

3333 Henry Hudson Pkwy
Ste 1
Bronx, NY 10463
Phone (718) 796-1000

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

139 Centre St
Ste 609
New York, NY 10013
Phone (212) 421-4128

1428 Madison Ave
Bldg 610
New York, NY 10029
Phone (212) 731-7771

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

161 Madison Ave
Rm 10SW
New York, NY 10016
Phone (212) 213-3456

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1205834140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "fax_number": "770-666-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD FL G",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8699",
            "fax_number": "908-673-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Nathan D Perlman Pl",
            "address_2": "Ste. 12S34",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033851",
            "country_code": "US",
            "telephone_number": "212-420-2124",
            "fax_number": "212-420-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVI",
        "first_name": "GABRIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "188765",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA10812200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS",
            "identifier": "A400062328",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01629372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.