Individual provider Active NPI

Miles B Levin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Summit, NJ
National Provider Identifier
1477702124
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA08741100 Issued in NJ
Practice address
99 Beauvoir Ave
Overlook Hospital 3Rd Floor Pathology
Summit, NJ 07901-3533
Phone
(908) 522-6225
Fax
(908) 522-2320
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 247046 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA08741100 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave
Overlook Hospital 3Rd Floor Pathology
Summit, NJ 07901-3533

Mailing address

99 Beauvoir Ave
Overlook Hospital 3Rd Floor Pathology
Summit, NJ 07901-3533
Phone (908) 522-6225

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000726 NJ Practitioner - Pathology 5698890457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Morristown Pathology Associates PAGroup PAC ID 4981699717, 26 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5600

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 831-5000

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2189

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08741100NJMDAnatomic Pathology & Clinical Pathology Physician
247046NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Fetal Medicine of Practice Associates, PA Current Accepting new patients
Morristown Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 26, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Sep 1, 2015 Accepting new patients
Summit Medical Group PA CurrentSince Sep 1, 2015 Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

99 Beauvoir Ave
Fl 3
Summit, NJ 07901
Phone (908) 522-2147

Interoperability endpoints

  • Direct secure messaging: miles.levin.1@2983.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1477702124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "address_2": "OVERLOOK HOSPITAL 3RD FLOOR PATHOLOGY",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-6225",
            "fax_number": "908-522-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "address_2": "OVERLOOK HOSPITAL 3RD FLOOR PATHOLOGY",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-6225",
            "fax_number": "908-522-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MILES",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "247046",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA08741100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.