Individual provider Active NPI

Jonathan Marc Levy, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1245536911
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006564 Issued in NY
Practice address
120 E 56TH St
Suite 940
New York, NY 10022-3607
Phone
(212) 940-6487
Fax
(212) 980-8685
NPI assigned
Jan 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00312500 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 006564 NY Primary

Addresses

Primary practice location

120 E 56TH St
Suite 940
New York, NY 10022-3607

Mailing address

120 E 56TH St
Suite 940
New York, NY 10022-3607
Phone (212) 940-6487

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331001742 NY Practitioner - Podiatry 6002079076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan M. Levy, DPM, PCGroup PAC ID 0042229585, 5 clinicians

Practice addresses (Care Compare)

120 E 56TH St
RM 940
New York, NY 10022-3642
Phone (212) 980-6487

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions1-10
Removal of nail tissue300
Removal or shaving of skin growth293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M. Levy, DPM, PC CurrentSince Jan 1, 2014 Accepting new patients

Locations

418 E 71st St
Fl 5
New York, NY 10021
Phone (212) 396-3016

120 E 56th St
Rm 1150
New York, NY 10022
Phone (212) 980-6487

120 E 56th St
Rm 940
New York, NY 10022
Phone (212) 765-0765

Organizations & group practices 1

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1245536911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST",
            "address_2": "SUITE 940",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223607",
            "telephone_number": "212-940-6487",
            "fax_number": "212-980-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST",
            "address_2": "SUITE 940",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223607",
            "telephone_number": "212-940-6487",
            "fax_number": "212-980-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JONATHAN",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312500",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.