Individual provider Active NPI

Charlotta Josefine Ovesdotter Levering, RD/RDN, CDN

  • Registered Dietitian
  • Long Beach, NY
National Provider Identifier
1356000483
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010757-01 Issued in NY
Practice address
410 E Broadway Apt 4P
Long Beach, NY 11561-4406
Phone
(201) 280-2422
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010757-01 NY Primary

Addresses

Primary practice location

410 E Broadway Apt 4P
Long Beach, NY 11561-4406

Mailing address

410 E Broadway Apt 4P
Long Beach, NY 11561-4406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000035 NY Practitioner - Registered Dietitian Or Nutrition Professional 7416394226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010757-01NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Feb 17, 2024 Accepting new patients
Sun River Health Inc Current Accepting new patients

Locations

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

1 Paradies Ln
New Paltz, NY 12561
Phone (845) 255-1760

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

Networks

  • Healthfirst Medicare Network H3359

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1356000483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E BROADWAY APT 4P",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E BROADWAY APT 4P",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614406",
            "telephone_number": "201-280-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERING",
        "first_name": "CHARLOTTA",
        "middle_name": "JOSEFINE OVESDOTTER",
        "credential": "RD/RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010757-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.