Individual provider Active NPI

Andrew S Levy, MD

  • Orthopaedic Surgery Physician
  • Millburn, NJ
National Provider Identifier
1386712032
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA06261400 Issued in NJ
Practice address
89 Millburn Ave Ste 102
Millburn, NJ 07041-1946
Phone
(908) 598-9199
Fax
(973) 762-4518
NPI assigned
Dec 1, 2006
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MA062614 NJ
Orthopaedic Surgery Physician 207X00000X MA06261400 NJ Primary

Addresses

Primary practice location

89 Millburn Ave Ste 102
Millburn, NJ 07041-1946

Mailing address

89 Millburn Ave Ste 102
Millburn, NJ 07041-1946
Phone (908) 598-9199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000667 NJ Practitioner - Orthopedic Surgery 7113928490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

89 Millburn Ave
Suite 102
Millburn, NJ 07041-1946
Phone (908) 598-9199

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06261400NJMDOrthopaedic Surgery Physician
MA062614NJMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Sports Medicine, Knee and Shoulder, LLC Sports Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

89 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (908) 598-9199

90 Millburn Ave
Ste 204A
Millburn, NJ 07041
Phone (908) 598-9199

Interoperability endpoints

  • Direct secure messaging: andrew.levy.1@14248.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14248/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1386712032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MILLBURN AVE STE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411946",
            "telephone_number": "908-598-9199",
            "fax_number": "973-762-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MILLBURN AVE STE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411946",
            "telephone_number": "908-598-9199",
            "fax_number": "973-762-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "MA062614",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA06261400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.