Active NPI
Ilene Amber Levi, M.S. C.C.C.-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1376783456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013972-1
- Practice address
- 4015 15TH Avenue
Childrens Place Management
Brooklyn, NY 11218 - Phone
- (718) 633-7728
- Fax
- (718) 633-7726
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013972-1 | NY | Primary |
Addresses
Primary practice location
4015 15TH Avenue
Childrens Place Management
Brooklyn, NY 11218
Mailing address
40 Albert Avenue
Milltown, NJ 08850
Phone (732) 543-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013972-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1376783456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ALBERT AVENUE",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "08850",
"telephone_number": "732-543-2263",
"fax_number": "732-543-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 15TH AVENUE",
"address_2": "CHILDRENS PLACE MANAGEMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-633-7728",
"fax_number": "718-633-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI",
"first_name": "ILENE",
"middle_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "M.S. C.C.C.-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013972-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.