Individual provider Active NPI

Jill Loren Levine, D.O.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1336445857
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS11659 Issued in FL
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(718) 780-3000
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS11659 FL Primary

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

353 2ND St Apt 4R
Brooklyn, NY 11215-2443
Phone (516) 581-7667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320000973 AZ Practitioner - Emergency Medicine 8527223064 Reassigns benefits to 5 organizations
I20200923002450 NM Practitioner - Emergency Medicine 8527223064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians

Practice addresses (Care Compare)

5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 417-4594

Hospital & facility affiliations

  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients
Benson Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
Bisbee Hospital Association CurrentSince Feb 19, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
Roosevelt County Special Hospital District Current Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

4524 E Hereford Rd
Ste 1
Hereford, AZ 85615

10524 E Highway 92
Hereford, AZ 85615
Phone (520) 366-0300

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

Interoperability endpoints

  • Direct secure messaging: jlevine@yourcarecommunity.org
  • Direct secure messaging: jill.levine.1@18129.direct.athenahealth.com
  • Direct secure messaging: jilllevine@rghnm.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1336445857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 2ND ST APT 4R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152443",
            "telephone_number": "516-581-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JILL",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS11659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.