Active NPI
Debra Levine, DPM
- Primary Podiatric Medicine Podiatrist
- Brooklyn, NY
National Provider Identifier
1508893769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N004807
- Practice address
- 373 Ave X
Brooklyn, NY 11223-6003 - Phone
- (718) 645-2764
- Fax
- (718) 645-1789
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004807 | NY | Primary |
Addresses
Primary practice location
373 Ave X
Brooklyn, NY 11223-6003
Mailing address
373 Avenue X
Brooklyn, NY 11223-6003
Phone (718) 645-2764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01616462 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004807 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508893769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236003",
"telephone_number": "718-645-2764",
"fax_number": "718-645-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 AVE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236003",
"telephone_number": "718-645-2764",
"fax_number": "718-645-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N004807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01616462",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.