Active NPI
Jay Richard Levy, DPM
- Podiatrist
- Syracuse, NY
National Provider Identifier
1376646331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0023131
- Practice address
- 120 E Washington St
Ste 308
Syracuse, NY 13202-4007 - Phone
- (315) 422-0453
- Fax
- (315) 638-2034
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0023131 | NY | Primary |
Addresses
Primary practice location
120 E Washington St
Ste 308
Syracuse, NY 13202-4007
Mailing address
120 E Washington St Ste 308
Syracuse, NY 13202-4007
Phone (315) 422-0453
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02662673 | Medicaid | NY | |
| C32925B | Other | FIRST UNITED AMERICAN LIF | |
| P3026 | Other | EMPIRE BC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000093 | NY | Practitioner - Podiatry | 1153421862 | Practice locations: Syracuse, NY; North Syracuse, NY; East Syracuse, NY; E Syracuse, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0023131 | NY | MD | Podiatrist |
| 002313 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients | |
| Weston Paxxon PT, OT & SLP, PLLC | Past | Accepting new patients | |
| Ipc Hospitalist Services of New York, P.C. | Past | Accepting new patients | |
| Painted Post, LLC | Past | Accepting new patients | |
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Buffalo, NY
- NPI 1538424650
-
- Assisted Living Facility
- Liverpool, NY
- NPI 1790013357
-
- Physical Therapist
- East Greenbush, NY
- NPI 1336185263
-
- Durable Medical Equipment & Medical Supplies
- Troy, NY
- NPI 1568059665
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Occupational Therapist
- Queensbury, NY
- NPI 1205154861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1376646331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E WASHINGTON ST STE 308",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132024007",
"telephone_number": "315-422-0453",
"fax_number": "315-638-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E WASHINGTON ST",
"address_2": "STE 308",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132024007",
"telephone_number": "315-422-0453",
"fax_number": "315-638-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JAY",
"middle_name": "RICHARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0023131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02662673",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST UNITED AMERICAN LIF",
"identifier": "C32925B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "P3026",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.