Individual provider Active NPI

Irina Levin, MD

  • Family Medicine Physician
  • Medford, NJ
National Provider Identifier
1477749182
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MAO8199900 Issued in NJ
Practice address
128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone
(609) 367-0900
Fax
(609) 367-0901
NPI assigned
Sep 18, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MAO8199900 NJ Primary

Addresses

Primary practice location

128 Route 70 Ste 1
Medford, NJ 08055-2371

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other practice location 2

602 W Cuthbert Blvd Unit 26 Ste A
Haddon Township, NJ 08108
Phone (856) 946-5180

Other practice location 3

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 4

401 YOUNG AVE STE 180-Front
Moorestown, NJ 08057
Phone (856) 291-8600

Other practice location 5

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 6

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

Other practice location 7

534 Lippincott Dr
Marlton, NJ 08053-4805
Phone (856) 355-7146

Other identifiers 1

IdentifierTypeStateIssuer
0142182MedicaidNJ

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org
Direct Messaging Address ilevin14191@directvirtua.org

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
I20080424000006 NJ Practitioner - HospitalistPractitioner - Family Practice 0244318715 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

128 Route 70
Medford, NJ 08055-2371

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

401 Young Ave
Moorestown, NJ 08057-3130

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO8199900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Nov 22, 2020 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Nov 22, 2020 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Cooper Physician Offices, PA CurrentSince Jul 1, 2016 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 7, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2018 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince May 31, 2016 Accepting new patients
Community Health Care, Inc. Family Medicine CurrentSince Jan 7, 2017 Accepting new patients
Advocare, LLC Family Medicine CurrentSince Aug 18, 2008 Accepting new patients
Virtua Medical Group, PA CurrentSince May 31, 2016 Accepting new patients
Atlanticare Physician Group CurrentSince Nov 22, 2020 Accepting new patients
Advocare , LLC CurrentSince Aug 18, 2008 Accepting new patients
Virtua Medical Group, PA PastSince Jun 16, 2024 Accepting new patients
Virtua Medical Group, PA PastSince Jun 16, 2024 Accepting new patients
Virtua Medical Group, PA PastSince Jun 16, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

30 N Pearl St
Bridgeton, NJ 08302

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

534 Lippincott Dr
Marlton, NJ 08053
Phone (856) 985-7373

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600

714 E Main St
Ste 1C
Moorestown, NJ 08057
Phone (856) 424-7390

555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610

3131 Route 38
Ste 13
Mount Laurel, NJ 08054
Phone (856) 866-8700

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1477749182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70 STE 1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26 Ste A",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "08108",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 YOUNG AVE STE 180-Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Bridgeton Pike Unit B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622615",
            "country_code": "US",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Lippincott Dr",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534805",
            "country_code": "US",
            "telephone_number": "856-355-7146",
            "fax_number": "856-355-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MAO8199900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142182",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 YOUNG AVE STE 180-Front",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "602 W Cuthbert Blvd Unit 26 Ste A",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Bridgeton Pike Unit B",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "158 Route 73 Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilevin14191@directvirtua.org",
            "affiliation": "N",
            "address_1": "534 Lippincott Dr",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.