NPIMap

Individual provider Active NPI

Stuart R Levine, DO

  • Dermatology Physician
  • Rockville Centre, NY
National Provider Identifier
1386622579
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
197033 Issued in NY
Practice address
2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1078
Phone
(516) 763-1717
Fax
(516) 678-4996
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 197033 NY Primary

Addresses

Primary practice location

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1078

Mailing address

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1078
Phone (516) 763-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000752 NY Practitioner - Dermatology 6709828775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockville Dermatology, PCGroup PAC ID 1456243476, 5 clinicians

Practice addresses (Care Compare)

1717 86TH St
Brooklyn, NY 11214-2817
Phone (718) 331-3122

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1001
Phone (516) 763-1717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
99.61
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions967
Removal of skin cancer260
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Dermatology, PC Dermatology CurrentSince Oct 1, 2002 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Apr 12, 2002 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2025 Accepting new patients
Dr Stuart R Levine Dermatology and Dermatologic Surgery PC Dermatology CurrentSince Sep 9, 2010 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

1717 86th St
Brooklyn, NY 11214
Phone (718) 331-3122

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1386622579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-763-1717",
            "fax_number": "516-678-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-763-1717",
            "fax_number": "516-678-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "STUART",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "197033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.