Active NPI
Brenda Wallace-Levy, PA
- Neurological Surgery Physician
- Westbury, NY
National Provider Identifier
1245297167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 002813
- Practice address
- 972 Brush Hollow Rd
Westbury, NY 11590-1740 - Phone
- (516) 876-5555
- Fax
- (516) 876-5539
- NPI assigned
- Apr 26, 2006
- Last updated
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 002813 | NY | Primary |
Addresses
Primary practice location
972 Brush Hollow Rd
Westbury, NY 11590-1740
Mailing address
300 Community Drive
Nsuh-Dept. of Neurosurgery
Manhasset, NY 11030
Phone (516) 562-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002813 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1245297167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COMMUNITY DRIVE",
"address_2": "NSUH-DEPT. OF NEUROSURGERY",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE-LEVY",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "002813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.