Samuel Saul Levine, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI13858 Issued in NJ

Practice address

166 Bunn Dr
Suite 103
Princeton, NJ 08540-2800

Phone

(609) 924-1621

Fax

(609) 924-6291

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 1, 2015 through Nov 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jordan Fried DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
  • NPI 1972136042
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1376620948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621",
            "fax_number": "609-924-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621",
            "fax_number": "609-924-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "SAMUEL",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI13858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avital Levin, LCSW
• Elizabeth Harriet Levin, M.D.
• Jared Ross Levin
• Hannah R Levine, LSW
• Nanci Mulholland Levine
• Shelly Levine, LSW
• Steven P. Levine, M.D.
• Stuart E Levine, M.D.
• Susan L Levine, LCSW, LMFT
• Peter M Lewis, DMD

• Oral and Maxillofacial Surgery (Dentist) in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.