Individual provider Active NPI

Jennifer Levine, MD

  • Pediatric Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1245283084
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
227813 Issued in NY
Practice address
3959 Broadway
Columbia Unversity Department Pediatric
New York, NY 10032-1559
Phone
(221) 304-7250
Fax
(212) 544-1974
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 227813 NY Primary

Addresses

Primary practice location

3959 Broadway
Columbia Unversity Department Pediatric
New York, NY 10032-1559

Mailing address

3959 Broadway
Columbia Unversity Department Pediatric
New York, NY 10032-1559
Phone (221) 304-7250

Other identifiers 2

IdentifierTypeStateIssuer
02299934MedicaidNY
0105694OtherNJMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060718000230 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 5496768368 Reassigns benefits to 1 organization
I20230223000873 DC Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 5496768368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227813NYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Current Accepting new patients
Children's Hospital CurrentSince Jan 6, 2023 Accepting new patients
Weill Medical College of Cornell Pediatric Hematology-Oncology CurrentSince May 1, 2017 Accepting new patients
Children's Hospital CurrentSince Jan 6, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince May 1, 2017 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1245283084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "221-304-7250",
            "fax_number": "212-544-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "221-304-7250",
            "fax_number": "212-544-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "227813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02299934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0105694",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.