Robert E Levin, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

023047 Issued in CT

Practice address

131 Boston Post Rd
Suite 5
East Lyme, CT 06333-1605

Phone

(860) 691-1044

Fax

(860) 691-1050

NPI assigned

Sep 20, 2005

Last updated

Jun 30, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Robert E. Levin

  • Rheumatology Physician
  • East Lyme, CT
  • NPI 1790902245
  NPD (past) Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1568457166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD",
            "address_2": "P.O. BOX 490",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605",
            "telephone_number": "860-691-1044",
            "fax_number": "860-691-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD",
            "address_2": "SUITE 5",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605",
            "telephone_number": "860-691-1044",
            "fax_number": "860-691-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "023047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "010023047CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001230473",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey H Lane, M.D.
• Glyn Elizabeth Lasater, RPT
• Allison Lawry, PHARMD
• Kerri Legg, RDH
• Christopher Lento, D.M.D.
• Samantha Mary Lewis, BCBA
• Chase William Livingston, DC
• Leigh Livingston, DC
• Simone A Longoria, LPC
• Maria A Lopez, M.D.

• Rheumatology Physician in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.