Individual provider Active NPI

Jenna Levy, D.O.

  • Obstetrics & Gynecology Physician
  • Manalapan, NJ
National Provider Identifier
1366464588
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB08043100 Issued in NJ
Practice address
831 Tennent Rd
Manalapan, NJ 07726-8288
Phone
(732) 972-4200
Fax
(732) 536-4288
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB08043100 NJ Primary

Addresses

Primary practice location

831 Tennent Rd
Manalapan, NJ 07726-8288

Mailing address

831 Tennent Rd
Manalapan, NJ 07726-8288
Phone (732) 972-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061207000338 NJ Practitioner - Obstetrics/Gynecology 1951300615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

200 White Rd
105 Shore Area OB GYN
Little Silver, NJ 07739-1160
Phone (732) 741-3331

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08043100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Jun 2, 2018 Accepting new patients
A Woman'S Place, LLC Obstetrics & Gynecology PastSince Mar 7, 2026 Accepting new patients
Awmg PC PastSince Feb 19, 2011 Accepting new patients

Locations

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

921 E County Line Rd
Lakewood, NJ 08701
Phone (732) 370-8500

200 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 741-3331

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

831 Tennent Rd
Ste 1B
Manalapan, NJ 07726

530 Morris Ave
Ste 1
Springfield, NJ 07081

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/
  • Direct secure messaging: jenna.levy.1@27010.direct.athenahealth.com
  • Direct secure messaging: jlevy141382@epicdirect.rwjbh.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/2780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jenna.levy.1@2780.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1366464588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200",
            "fax_number": "732-536-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200",
            "fax_number": "732-536-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JENNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB08043100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.