Individual provider Active NPI

Andrew Levitas, M.D.

  • Psychiatry Physician
  • Stratford, NJ
National Provider Identifier
1265523344
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA051901 Issued in NJ
Practice address
109 E Laurel Rd
1St Floor
Stratford, NJ 08084-1362
Phone
(856) 566-6034
Fax
(856) 566-6208
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA051901 NJ Primary
Child & Adolescent Psychiatry Physician 2084P0804X MA051901 NJ

Addresses

Primary practice location

109 E Laurel Rd
1St Floor
Stratford, NJ 08084-1362

Mailing address

109 E Laurel Rd
1St Floor
Stratford, NJ 08084-1362
Phone (856) 566-6034

Other identifiers 1

IdentifierTypeStateIssuer
0729400MedicaidNJ

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA051901NJMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1265523344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E LAUREL RD",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841362",
            "telephone_number": "856-566-6034",
            "fax_number": "856-566-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LAUREL RD",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841362",
            "telephone_number": "856-566-6034",
            "fax_number": "856-566-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAS",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA051901",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA051901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.