Active NPI
Phillip Alan Levin, D.C.
- Orthopedic Chiropractor
- Voorhees, NJ
National Provider Identifier
1548401524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- MC02242
- Practice address
- 600 Somerdale Rd
Suite 206 Echelon Med. Ctr.
Voorhees, NJ 08043-1858 - Phone
- (956) 795-4925
- Fax
- (856) 795-5164
- NPI assigned
- Mar 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | MC02242 | NJ | Primary |
Addresses
Primary practice location
600 Somerdale Rd
Suite 206 Echelon Med. Ctr.
Voorhees, NJ 08043-1858
Mailing address
24 Old Stevens LN
Voorhees, NJ 08043-3430
Phone (856) 435-7840
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02242 | NJ | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1548401524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 OLD STEVENS LN",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433430",
"telephone_number": "856-435-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SOMERDALE RD",
"address_2": "SUITE 206 ECHELON MED. CTR.",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431858",
"telephone_number": "956-795-4925",
"fax_number": "856-795-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "PHILLIP",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NJ",
"license": "MC02242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.