Jacqueline I Levy

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

460073 Issued in NY

Practice address

6605 Booth St
Rego Park, NY 11374-4633

Phone

(917) 612-2497

Fax

(718) 459-6325

NPI assigned

Nov 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Jackie I Fried Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1447551585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 BOOTH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744633",
            "telephone_number": "917-612-2497",
            "fax_number": "718-459-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 BOOTH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744633",
            "telephone_number": "917-612-2497",
            "fax_number": "718-459-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JACQUELINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "460073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "930546695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "FRIED",
            "middle_name": "I",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lev Cardiovascular Care PC
• Levin'S Drugs Inc.
• Rachel Levine, DNP, FNP-BC
• Asya Levy, M.D.
• Eduard Levy, M.D.
• Goldwyn Lewis
• Qiang Li, LAC
• Xiao Jun Li, LAC
• Celia Liang, DO
• Nellie E. Liciaga, LCSW, M-CASAC

• Speech/Language/Hearing Specialist/Technologist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Speech/Language/Hearing Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.