Individual provider Active NPI

Scott Jordan Levy, D.D.S.

  • Dentist
  • Ny, NY
National Provider Identifier
1477878403
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
037740 Issued in NY
Practice address
18 East 48TH St.
Suite 1702
Ny, NY 10017
Phone
(212) 744-3928
Fax
(212) 319-9778
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 037740 NY Primary

Addresses

Primary practice location

18 East 48TH St.
Suite 1702
Ny, NY 10017

Mailing address

18 East 48TH St.
Suite 1702
Ny, NY 10017
Phone (212) 744-3928

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107000139 NY Practitioner - Dentist 4486088085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037740NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex M. Greenberg, DDS PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1477878403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EAST 48TH ST.",
            "address_2": "SUITE 1702",
            "city": "NY",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-744-3928",
            "fax_number": "212-319-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST 48TH ST.",
            "address_2": "SUITE 1702",
            "city": "NY",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-744-3928",
            "fax_number": "212-319-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "SCOTT",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "037740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.