Individual provider Active NPI

Bruce Levitt, DO

  • Internal Medicine Physician
  • New City, NY
National Provider Identifier
1447321310
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154600 Issued in NY
Practice address
200 E Eckerson Rd
Ste 1 6
New City, NY 10956-7153
Phone
(845) 352-5900
Fax
(845) 352-1142
NPI assigned
Nov 13, 2006
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 154600 NY Primary

Addresses

Primary practice location

200 E Eckerson Rd
Ste 1 6
New City, NY 10956-7153

Mailing address

200 E Eckerson Rd
Ste 1 6
New City, NY 10956-7153
Phone (845) 352-5900

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000518 NY Practitioner - Internal Medicine 3577606979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
154600NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Medical Diagnostic Services, PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Clarkstown Medical Associates PC Internal Medicine Past Accepting new patients

Locations

200 E Eckerson Rd
Ste 160
New City, NY 10956
Phone (845) 352-5900

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

97 Route 303
Tappan, NY 10983
Phone (845) 348-2198

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1447321310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD",
            "address_2": "STE 1 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567153",
            "telephone_number": "845-352-5900",
            "fax_number": "845-352-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD",
            "address_2": "STE 1 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567153",
            "telephone_number": "845-352-5900",
            "fax_number": "845-352-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.