Brad Levine DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

040521 Issued in NY

Legal business name

BRAD LEVINE DMD PC

Practice address

14 Maple St
Suite 104
Port Washington, NY 11050-2967

Phone

(516) 767-9300

Fax

(516) 767-7392

NPI assigned

Jan 23, 2012

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Goldstein

Title

Manager

Phone

(516) 767-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad A Levine, DMD

  • Endodontics
  • Port Washington, NY
  • NPI 1144203613
  Medicare reassignment NPD
• Barry Michael Greenfield, DDS

  • Periodontics
  • Port Washington, NY
  • NPI 1699783654
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1518238542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "address_2": "SUITE 104",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502967",
            "telephone_number": "516-767-9300",
            "fax_number": "516-767-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "address_2": "SUITE 104",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502967",
            "telephone_number": "516-767-9300",
            "fax_number": "516-767-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD LEVINE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-767-9300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Blush, M.D.
• Valerie Bongiovi, NPP
• Terry Bordan, ED.D., LMHC, CCMHC
• Allegra Borghese, PHD
• Julia Boroday
• Nancy Schaeffer Braman, PH.D.
• Hal Brickman, HAL BRICKMAN
• Debra J Brodsky, LCSW
• Robin Rhonda Bromberg, D.C.
• Martin H Brownstein, M.D.

• Dental Clinic/Center in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.