Active NPI
Levon N. Nazarian, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD047204L
- Practice address
- 111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824 - Phone
- (215) 955-6226
- Fax
- (215) 955-5098
- NPI assigned
- Jul 9, 2006
- Last updated
- Mar 10, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD047204L | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001299134 | Medicaid | PA | |
| 6378901 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Health Care Associates of New Jersey PC
Practice addresses (Care Compare)
1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 686-8282
1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3051
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Imaging Professionals of Pennsylvania PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1865 Route 70 E
Ste 130
Cherry Hill, NJ 08003
Phone (856) 433-2535
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Diagnostic Radiology
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1144476490
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558759571
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Diagnostic Radiology Physician
- Cherry Hill, NJ
- NPI 1821447103
-
dba Callowhill Open MRI
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1952394363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1467485615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6226",
"fax_number": "215-955-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "LEVON",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD047204L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001299134",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6378901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physicians Services, Inc (NPS Orthopedic Group)
- Matthew Nazarian, MD
- Saman Nazarian, M.D.
- Susanna Matsen Nazarian, M.D., PH.D.
- Julia Nazarieh
- Diana Nazario, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.