Individual provider Active NPI

Lawrence Allen Levine, D.P.M.

  • Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1275569956
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00092600 Issued in NJ
Practice address
52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3574
Phone
(856) 795-1003
Fax
(856) 795-5994
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00092600 NJ Primary
Podiatrist 213E00000X SC001429L PA

Addresses

Primary practice location

52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3574

Mailing address

52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3574
Phone (856) 795-1003

Other identifiers 14

IdentifierTypeStateIssuer
0090238000OtherPAPA BLUE SHIELD
F14284OtherHEALTH NET
FO110209OtherPAKEYSTONE MERCY
0070293OtherGROUP HEALTH INS.
14952OtherNJAMERIGROUP
4394780OtherAETNA
0004916OtherNJAETNA
CA000033400OtherNJAMERICHOICE OF NJ
1085556OtherNJHORIZON NJ HEALTH
155550201MedicaidNJ
4800233093OtherRAIL ROAD MEDICARE
16720OtherUNIVERSITY HEALTH PLAN
24074OtherNJOPERATING ENGINEERS
P898164OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041004000353 NJ Practitioner - Podiatry 1052225216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Health Centers, P.a,Group PAC ID 6002720232, 6 clinicians

Practice addresses (Care Compare)

52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3573
Phone (856) 795-1003

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue193
Removal of skin lesions218
Removal of nail tissue1740
Removal or shaving of skin growth411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00092600NJMDPodiatrist
SC001429LPAMDPodiatrist

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1275569956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BERLIN RD",
            "address_2": "SUITE 5000",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343574",
            "telephone_number": "856-795-1003",
            "fax_number": "856-795-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BERLIN RD",
            "address_2": "SUITE 5000",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343574",
            "telephone_number": "856-795-1003",
            "fax_number": "856-795-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LAWRENCE",
        "middle_name": "ALLEN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00092600",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001429L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "0090238000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "F14284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "FO110209",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INS.",
            "identifier": "0070293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "14952",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4394780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004916",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ",
            "identifier": "CA000033400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1085556",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155550201",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "4800233093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "16720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS",
            "identifier": "24074",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P898164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.