Individual provider Active NPI

Jay Richard Levy, DPM

  • Podiatrist
  • Syracuse, NY
National Provider Identifier
1376646331
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0023131 Issued in NY
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

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02662673MedicaidNY
C32925BOtherFIRST UNITED AMERICAN LIF
P3026OtherEMPIRE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
N0023131NYMDPodiatrist
002313NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jul 5, 2013 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.

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

Verify at the official NPI Registry.