Organization Active NPI

Levine Podiatry Group

  • Podiatrist
  • Delray Beach, FL
National Provider Identifier
1396707261
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1253 Issued in FL
Legal business name
LEVINE PODIATRY GROUP
Practice address
5210 Linton Blvd
Suite 206
Delray Beach, FL 33484
Phone
(561) 499-6850
Fax
(561) 637-0279
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Stuart B Levine, DPMNPI 1881690675
Title
President
Phone
(561) 499-6850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO1253 FL Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO2707 FL

Addresses

Primary practice location

5210 Linton Blvd
Suite 206
Delray Beach, FL 33484

Mailing address

5210 Linton Blvd
Suite 206
Delray Beach, FL 33484
Phone (561) 499-6850

Other identifiers 1

IdentifierTypeStateIssuer
040954500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100628000813 FL Part B Supplier - Clinic/Group Practice 4183755614 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL
O20100930011029 FL DME Supplier - Physician - Podiatry 8123130531 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 7
Boca Raton, FL 33434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1396707261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-499-6850",
            "fax_number": "561-637-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-499-6850",
            "fax_number": "561-637-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-499-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1253",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040954500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.