Individual provider Active NPI

Marc A Levinson, OD

  • Optometrist
  • Scotch Plains, NJ
National Provider Identifier
1417903170
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA004234 Issued in NJ
Practice address
350 Park Avenue
Scotch Plains, NJ 07076
Phone
(908) 322-8040
Fax
(908) 322-8995
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA004234 NJ Primary

Addresses

Primary practice location

350 Park Avenue
Scotch Plains, NJ 07076

Mailing address

350 Park Avenue
Scotch Plains, NJ 07076
Phone (908) 322-8040

Other identifiers 1

IdentifierTypeStateIssuer
0476404MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000832 NJ Practitioner - Optometry 4981721909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Eye Care CenterGroup PAC ID 2769509652, 2 clinicians

Practice addresses (Care Compare)

PO Box
Suite 733
Newfoundland, NJ 07435-0733
Phone (973) 697-8100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA004234NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of North Jersey LLC Optometrist CurrentSince Nov 28, 2022 Accepting new patients
North Jersey Eye Care Center Optometrist CurrentSince Feb 1, 1983 Accepting new patients

Locations

2713 State Rt 23
Newfoundland, NJ 07435
Phone (201) 697-8100

350 Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-8040

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1417903170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARK AVENUE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "07076",
            "telephone_number": "908-322-8040",
            "fax_number": "908-322-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK AVENUE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "07076",
            "telephone_number": "908-322-8040",
            "fax_number": "908-322-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA004234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.