Organization Active NPI

Jane Vlodov-Levitt MDPC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1396912812
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
204618 Issued in NY
Legal business name
JANE VLODOV-LEVITT MDPC
Practice address
2202 65TH St
2ND Floor
Brooklyn, NY 11204-4035
Phone
(718) 331-7900
Fax
(718) 331-3666
NPI assigned
May 14, 2008
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Jane Vlodov
Title
Ceo/President
Phone
(718) 331-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 204618 NY Primary

Addresses

Primary practice location

2202 65TH St
2ND Floor
Brooklyn, NY 11204-4035

Mailing address

2202 65TH St
2ND Floor
Brooklyn, NY 11204-4035
Phone (718) 331-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000556 NY Part B Supplier - Clinic/Group Practice 1658358379 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2202 65th St
Fl 2
Brooklyn, NY 11204
Phone (718) 331-7900

6010 Bay Pkwy
Ste 401
Brooklyn, NY 11204
Phone (718) 331-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1396912812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 65TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044035",
            "telephone_number": "718-331-7900",
            "fax_number": "718-331-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 65TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044035",
            "telephone_number": "718-331-7900",
            "fax_number": "718-331-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE VLODOV-LEVITT MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "VLODOV",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-331-7900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "204618",
            "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 Jan 19, 2022; 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.