Individual provider Active NPI

Nikolay Levintov, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Howell, NJ
National Provider Identifier
1316382641
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
25MA10398300 Issued in NJ
Practice address
100 Candlewood CMNS
Howell, NJ 07731-2168
Phone
(732) 364-0400
Fax
(732) 364-3336
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 25MA10398300 NJ Primary

Addresses

Primary practice location

100 Candlewood CMNS
Howell, NJ 07731-2168

Mailing address

100 Candlewood CMNS
Howell, NJ 07731-2168
Phone (732) 364-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 28, 2024 through Aug 28, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10398300NJMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Otolaryngology Associates CurrentSince Sep 1, 2019 Accepting new patients
N.J. Oral & Facial Surgery of Monroe, LLC Oral & Maxillofacial Surgery Current Accepting new patients

Locations

87 Highway 520
Morganville, NJ 07751
Phone (732) 617-0300

Interoperability endpoints

  • Direct secure messaging: nlevintov425262@direct.ahsys.org

Organizations & group practices 2

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1316382641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312168",
            "telephone_number": "732-364-0400",
            "fax_number": "732-364-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312168",
            "telephone_number": "732-364-0400",
            "fax_number": "732-364-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINTOV",
        "first_name": "NIKOLAY",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "25MA10398300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.