Organization Active NPI

Levindale Hebrew Geriatric Center & Hospital Inc

Doing business as Levindale Physicians Group

  • Chronic Disease Hospital
  • Baltimore, MD
National Provider Identifier
1336297431
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
30088 Issued in MD
Legal business name
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Doing business as
Levindale Physicians Group
Practice address
2434 W Belvedere Ave
Baltimore, MD 21215-5202
Phone
(410) 547-8500
NPI assigned
Jan 8, 2007
Last updated
Aug 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Dr. Susan Levy, M.D.NPI 1306821855
Title
Medical Director
Phone
(410) 601-2246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 30088 MD Primary
Skilled Nursing Facility 314000000X 8204 MD

Addresses

Primary practice location

2434 W Belvedere Ave
Baltimore, MD 21215-5202

Mailing address

2434 W Belvedere Ave
Baltimore, MD 21215-5202
Phone (410) 547-8500

Other identifiers 2

IdentifierTypeStateIssuer
900591900MedicaidMD
CE3212OtherMDR/R MEDICARE

Other names 1

  • LEVINDALE PHYSICIANS GROUP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1336297431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155202",
            "telephone_number": "410-547-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155202",
            "telephone_number": "410-547-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-601-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "MD",
            "license": "30088",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "8204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900591900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "CE3212",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEVINDALE PHYSICIANS GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.