Stephen John Levine, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35906 Issued in MA

Practice address

1221 Main St
Suite 302
Holyoke, MA 01040-5396

Phone

(413) 536-5525

Fax

(413) 533-4084

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1528024643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "address_2": "SUITE 302",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405396",
            "telephone_number": "413-536-5525",
            "fax_number": "413-533-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "address_2": "SUITE 302",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405396",
            "telephone_number": "413-536-5525",
            "fax_number": "413-533-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "35906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6168833",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "04-2801718",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Jil Letson, LICSW
• Julianna Levakis
• Jenna Levere
• Andrew S Levin, M.D.
• Marilyn L Levine, MD
• Larry Levitt
• Susan Jean Lewantowicz
• Lori Lewicki, RPH
• Selina Lewis-Bartley, LICSW
• Andrew Lewis

• Family Medicine Physician in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.