Individual provider Active NPI

Nicole Ashley Levine

  • Pediatric Dentistry
  • Morristown, NJ
National Provider Identifier
1245964675
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI03021900 Issued in NJ
Practice address
95 Madison Ave Ste A08
Morristown, NJ 07960-7365
Phone
(973) 898-6600
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI03021900 NJ Primary

Addresses

Primary practice location

95 Madison Ave Ste A08
Morristown, NJ 07960-7365

Mailing address

240 South 40TH Street
Upenn Department of Dentistry
Philadelphia, PA 19104-6030

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI03021900NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Dentistry of Morris County, LLC Pediatric Dentistry CurrentSince Jan 26, 2025 Accepting new patients

Locations

95 Madison Ave
Ste A08
Morristown, NJ 07960
Phone (973) 898-6600

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1245964675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SOUTH 40TH STREET",
            "address_2": "UPENN DEPARTMENT OF DENTISTRY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE A08",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607365",
            "telephone_number": "973-898-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI03021900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.