Active NPI
William M Levine
- Specialist
- Brooklyn, NY
National Provider Identifier
1407910292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- N005003
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622742 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 E 104TH St
New York, NY 10029-5514
Phone (212) 289-3388
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 775 |
| Removal or shaving of skin growth | 116 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005003 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footcare Podiatry PC | Specialist | Current | Accepting new patients |
| South Fork Podiatry PC | Current | Accepting new patients | |
| Hollis Ak LLC | Current | 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 | Past | 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.
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- Multi-Specialty Clinic/Center
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- NPI 1295454650
-
- Podiatrist
- Hampton Bays, NY
- NPI 1528149267
-
- Podiatrist
- East Meadow, NY
- NPI 1053310920
-
- Podiatrist
- Far Rockaway, NY
- NPI 1386901155
-
- Supports Brokerage Agency
- Kings Park, NY
- NPI 1780819383
-
- Primary Podiatric Medicine Podiatrist
- Brooklyn, NY
- NPI 1700166055
-
- Podiatrist
- Jamaica, NY
- NPI 1073203261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.