Individual provider Active NPI

David Barry Levine, MD

  • Pediatrics Physician
  • Plainfield, NJ
National Provider Identifier
1295824290
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08070000 Issued in NJ
Practice address
451 Terrill Rd
Plainfield, NJ 07062-1377
Phone
(908) 941-9490
Fax
(908) 941-9491
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08070000 NJ Primary

Addresses

Primary practice location

451 Terrill Rd
Plainfield, NJ 07062-1377

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

560 Springfield Ave
Westfield, NJ 07060
Phone (908) 588-3740

Other identifiers 3

IdentifierTypeStateIssuer
5551315OtherNJCIGNA
2765828000OtherAMERIHEALTH
3K5368OtherNJHEALTH NET

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000416 NJ Practitioner - Pediatric Medicine 7517113343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08070000NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Pediatrics CurrentSince Mar 1, 2021 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

451 Terrill Rd
Plainfield, NJ 07062
Phone (908) 941-9494

Interoperability endpoints

  • Direct secure messaging: dlevine52951@direct.ahsys.org

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1295824290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 TERRILL RD",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621377",
            "telephone_number": "908-941-9490",
            "fax_number": "908-941-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Springfield Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "07060",
            "country_code": "US",
            "telephone_number": "908-588-3740",
            "fax_number": "908-228-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DAVID",
        "middle_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08070000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5551315",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2765828000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3K5368",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.