Individual provider Active NPI

Ryan Mark Levy, DDS

  • Dentist
  • Westfield, NJ
National Provider Identifier
1255185617
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02857700 Issued in NJ
Practice address
223 Lenox Ave
Westfield, NJ 07090-2135
Phone
(908) 232-8228
NPI assigned
Apr 12, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02857700 NJ Primary

Addresses

Primary practice location

223 Lenox Ave
Westfield, NJ 07090-2135

Mailing address

13 Baldwin St
New Brunswick, NJ 08901-2828
Phone (732) 216-1484

Other practice location 1

2929 Klockner Rd
Hamilton Square, NJ 08690-2809
Phone (609) 586-6603

Other practice location 2

746 Livingston Ave
North Brunswick, NJ 08902-2385
Phone (732) 846-8383

Other practice location 3

25 Pompton Ave
Verona, NJ 07044-2941
Phone (973) 239-2111

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
22DI02857700NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1255185617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BALDWIN ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012828",
            "telephone_number": "732-216-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LENOX AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902135",
            "telephone_number": "908-232-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Klockner Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton Square",
            "state": "NJ",
            "postal_code": "086902809",
            "country_code": "US",
            "telephone_number": "609-586-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089022385",
            "country_code": "US",
            "telephone_number": "732-846-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442941",
            "country_code": "US",
            "telephone_number": "973-239-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RYAN",
        "middle_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02857700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.