NPIMap

Organization Active NPI

Levindale Hebrew Geriatric Center and Hospital

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1376524728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D0060170 Issued in MD
Legal business name
LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL
Practice address
2434 W Belvedere Ave
Baltimore, MD 21215-5202
Phone
(410) 601-2246
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan Levy, MD
Title
Medical Direcror
Phone
(410) 601-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X D0060170 MD Primary

Addresses

Primary practice location

2434 W Belvedere Ave
Baltimore, MD 21215-5202

Mailing address

7006 Delaware St
Chevy Chase, MD 20815-4162
Phone (301) 656-0282

Other identifiers 1

IdentifierTypeStateIssuer
H330H192MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Levindale Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376524728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 DELAWARE ST",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154162",
            "telephone_number": "301-656-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155202",
            "telephone_number": "410-601-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECROR",
        "authorized_official_telephone_number": "410-601-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0060170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H330H192",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.