Organization Active NPI

Brian Keith Levy

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1255506408
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
N005753 Issued in NY
Legal business name
BRIAN KEITH LEVY
Practice address
1390 Pennsylvania Ave
Ste E
Brooklyn, NY 11239
Phone
(718) 642-2088
Fax
(718) 642-2096
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Brian Keith LevyNPI 1912083148
Title
Owner
Phone
(718) 642-2088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X N005753 NY
Customized Equipment (DME) 332BC3200X N005753 NY Primary

Addresses

Primary practice location

1390 Pennsylvania Ave
Ste E
Brooklyn, NY 11239

Mailing address

1390 Pennsylvania Ave
Ste E Starret City Podiatry
Brooklyn, NY 11239
Phone (718) 642-2088

Other identifiers 1

IdentifierTypeStateIssuer
02277838MedicaidNY

National Provider Directory

National Provider Directory

Locations

1390 Pennsylvania Ave
Ste E
Brooklyn, NY 11239
Phone (718) 642-2088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1255506408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE",
            "address_2": "STE E STARRET CITY PODIATRY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11239",
            "telephone_number": "718-642-2088",
            "fax_number": "718-642-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE",
            "address_2": "STE E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11239",
            "telephone_number": "718-642-2088",
            "fax_number": "718-642-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KEITH LEVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-642-2088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005753",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N005753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.