Individual provider Active NPI

Jason Edward Levine, M.D.

  • Pediatric Hematology & Oncology Physician
  • Bethesda, MD
National Provider Identifier
1376505909
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
DD0064964 Issued in MD
Practice address
Nih/Nci/Pob
9000 Rockville Pike 10-CRC RM 1W-3750
Bethesda, MD 20892-1104
Phone
(301) 594-2938
Fax
(301) 451-7010
NPI assigned
Apr 6, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X DD0064964 MD Primary
Pediatric Hematology & Oncology Physician 2080P0207X 217313 MA
Pediatric Hematology & Oncology Physician 2080P0207X 228045 NY

Addresses

Primary practice location

Nih/Nci/Pob
9000 Rockville Pike 10-CRC RM 1W-3750
Bethesda, MD 20892-1104

Mailing address

9609 Medical Center Dr RM 2W322
Rockville, MD 20850-3330
Phone (240) 276-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240830002579 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8426597642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228045NYMDLicensed Practical Nurse
DD0064964MDMDPediatric Hematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1376505909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 MEDICAL CENTER DR RM 2W322",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503330",
            "telephone_number": "240-276-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIH/NCI/POB",
            "address_2": "9000 ROCKVILLE PIKE 10-CRC RM 1W-3750",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921104",
            "telephone_number": "301-594-2938",
            "fax_number": "301-451-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "DD0064964",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MA",
            "license": "217313",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "228045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.