Individual provider Active NPI

Marc M Levine, MD

  • Emergency Medicine Physician
  • Berkeley Heights, NJ
National Provider Identifier
1609804418
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA05207000 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8880
Fax
(908) 277-8796
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H5131 TX
Emergency Medicine Physician 207P00000X 25MA05207000 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

18 Regency Way
Manalapan, NJ 07726-8674
Phone (732) 845-5916

Other identifiers 2

IdentifierTypeStateIssuer
6906605MedicaidNJ
930091682OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090323000376 NJ Practitioner - Emergency Medicine 6305903105 Reassigns benefits to 3 organizations
I20091210000413 TX Practitioner - Emergency Medicine 6305903105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Newgen Em CPM PLLCGroup PAC ID 0143793851, 6 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

1100 W Bluff St
A
Woodville, TX 75979-4738
Phone (409) 283-8141

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

Hospital & facility affiliations

  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05207000NJMDEmergency Medicine Physician
H5131TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Feb 1, 2011 Accepting new patients
Emergency Associates of St Marys LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Emergency Physicians of West Bluff PLLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Summit Medical Group PA CurrentSince Jul 22, 2021 Accepting new patients
Newgen Em CPM PLLC Emergency Medicine CurrentSince Jun 1, 2026 Accepting new patients
Summit Medical Group PA CurrentSince Jul 22, 2021 Accepting new patients
East Texas Medical Center Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

539 US Highway 9
Lanoka Harbor, NJ 08734
Phone (609) 488-6266

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1201 W Frank Ave
#E
Lufkin, TX 75904
Phone (936) 639-7706

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

1100 W Bluff St
#A
Woodville, TX 75979
Phone (409) 283-8141

Interoperability endpoints

  • Direct secure messaging: marc.levine.1@2983.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1609804418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 REGENCY WAY",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268674",
            "telephone_number": "732-845-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8880",
            "fax_number": "908-277-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MARC",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H5131",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05207000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6906605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930091682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.