Individual provider Active NPI

Bruce Alan Levine, D.C.

  • Chiropractor
  • Syosset, NY
National Provider Identifier
1316022858
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003401-1 Issued in NY
Practice address
49 Berry Hill Rd
Syosset, NY 11791-2624
Phone
(516) 802-5011
Fax
(516) 921-3285
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X003401-1 NY Primary

Addresses

Primary practice location

49 Berry Hill Rd
Syosset, NY 11791-2624

Mailing address

49 Berry Hill Rd
Syosset, NY 11791-2624
Phone (516) 802-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000159 NY Practitioner - Chiropractic 0345342879 Reassigns benefits to 1 organization
Practice locations: Syosset, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens Chiropractic Associates, PCGroup PAC ID 8022296409, 2 clinicians

Practice addresses (Care Compare)

865 Cypress Ave
Ridgewood, NY 11385-4724
Phone (718) 628-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X003401-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Chiropractic Associates, PC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients

Locations

865 Cypress Ave
Ridgewood, NY 11385
Phone (718) 381-0167

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1316022858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BERRY HILL RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912624",
            "telephone_number": "516-802-5011",
            "fax_number": "516-921-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BERRY HILL RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912624",
            "telephone_number": "516-802-5011",
            "fax_number": "516-921-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003401-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.