Organization Active NPI

Zinaida Levin MD PC

  • Internal Medicine Physician
  • Canton, MA
National Provider Identifier
1356477590
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ZINAIDA LEVIN MD PC
Practice address
510 Chapman St
Canton, MA 02021-2096
Phone
(781) 575-1266
NPI assigned
Feb 24, 2007
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Dr. Zinaida Levin, MDNPI 1174591895
Title
Owner
Phone
(781) 575-1266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

510 Chapman St
Canton, MA 02021-2096

Mailing address

510 Chapman St
Canton, MA 02021-2096
Phone (781) 575-1266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809001017 MA Part B Supplier - Clinic/Group Practice 0042343220 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MA

National Provider Directory

National Provider Directory

Locations

510 Chapman St
Canton, MA 02021
Phone (617) 916-5116

510 Chapman St
Unit 102
Canton, MA 02021
Phone (781) 575-1266

Practitioners & affiliated clinicians

Practitioners 4

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1356477590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHAPMAN ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212096",
            "telephone_number": "781-575-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHAPMAN ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212096",
            "telephone_number": "781-575-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINAIDA LEVIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "ZINAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-575-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.