Individual provider Active NPI

Jay Gary Levine, DPM

  • Podiatrist
  • Nanuet, NY
National Provider Identifier
1366473845
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0041131 Issued in NY
Practice address
55 Old Nyack Turnpike
Suite 407
Nanuet, NY 10954-2452
Phone
(845) 623-5933
Fax
(845) 623-4261
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0041131 NY Primary
Foot Surgery Podiatrist 213ES0131X N0041131 NY
Foot Surgery Podiatrist 213ES0131X MD001821 NJ

Addresses

Primary practice location

55 Old Nyack Turnpike
Suite 407
Nanuet, NY 10954-2452

Mailing address

55 Old Nyack Turnpike
Suite 407
Nanuet, NY 10954-2452
Phone (845) 623-5933

Other identifiers 1

IdentifierTypeStateIssuer
4483320001OtherDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000709 NY Practitioner - Podiatry 6709916984 Reassigns benefits to 1 organization
Practice locations: Nanuet, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockland Endocrine and Diabetes Services, P.C.Group PAC ID 8729979620, 12 clinicians

Practice addresses (Care Compare)

156 Route 59
Suite C1
Suffern, NY 10901-5010
Phone (845) 357-3838

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue378
Removal of nail tissue663
Removal or shaving of skin growth314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0041131NYMDPodiatrist
MD001821NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Endocrine & Diabetes Services PC CurrentSince Oct 1, 2016 Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. Past Accepting new patients
Comprehensive Foot and Ankle Care PastSince Jul 31, 2000 Accepting new patients

Locations

156 Route 59
Ste C1
Suffern, NY 10901
Phone (845) 357-3838

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1366473845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TURNPIKE",
            "address_2": "SUITE 407",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542452",
            "telephone_number": "845-623-5933",
            "fax_number": "845-623-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TURNPIKE",
            "address_2": "SUITE 407",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542452",
            "telephone_number": "845-623-5933",
            "fax_number": "845-623-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JAY",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0041131",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N0041131",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD001821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4483320001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.