Individual provider Active NPI

William M Levine

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1407910292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N005003 Issued in NY
Practice address
8010 4TH Ave
Brooklyn, NY 11209-3909
Phone
(718) 883-1600
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N005003 NY Primary

Addresses

Primary practice location

8010 4TH Ave
Brooklyn, NY 11209-3909

Mailing address

8010 4TH Ave
Brooklyn, NY 11209-3909
Phone (718) 883-1600

Other identifiers 1

IdentifierTypeStateIssuer
01622742MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000357 NY Practitioner - Podiatry 0648307827 Reassigns benefits to 4 organizations
Practice locations: Glen Oaks, NY; Manhasset, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Footcare Podiatry PCGroup PAC ID 3678780681, 2 clinicians

Practice addresses (Care Compare)

309 E 104TH St
New York, NY 10029-5514
Phone (212) 289-3388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue775
Removal or shaving of skin growth116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N005003NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare Podiatry PC Specialist CurrentSince Oct 1, 2020 Accepting new patients
South Fork Podiatry PC CurrentSince Apr 19, 2021 Accepting new patients
Hollis Ak LLC CurrentSince Aug 12, 2023 Accepting new patients
David Gordon DPM PC Past Accepting new patients
Podiatry Nyc P.C. Past Accepting new patients
Lifetime Podiatry, P.C. Past Accepting new patients
Eastern Physical Medicine and Rehabilitation PC PastSince Aug 12, 2023 Accepting new patients

Locations

23 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 728-4040

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407910292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093909",
            "telephone_number": "718-883-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093909",
            "telephone_number": "718-883-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "N005003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.