Organization Active NPI

Kirk J Levy MD PC

  • Neurology Physician
  • Englewood, NJ
National Provider Identifier
1225532161
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA69166 Issued in NJ
Legal business name
KIRK J LEVY MD PC
Practice address
25 Rockwood PL Ste 110
Englewood, NJ 07631-4959
Phone
(201) 568-3174
Fax
(201) 894-1956
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Kirk J Levy, MDNPI 1023077393
Title
Owner
Phone
(551) 265-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MA69166 NJ Primary

Addresses

Primary practice location

25 Rockwood PL Ste 110
Englewood, NJ 07631-4959

Mailing address

25 Rockwood PL Ste 110
Englewood, NJ 07631-4959
Phone (201) 568-3174

Other names 1

  • Kirk J Levy MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180416001230 NJ Part B Supplier - Clinic/Group Practice 3375806862 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1225532161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 110",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "201-568-3174",
            "fax_number": "201-894-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 110",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "201-568-3174",
            "fax_number": "201-894-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK J LEVY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-265-8287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA69166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirk J Levy MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.