Jacqueline Levine, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014525-1 Issued in NY

Practice address

9921 4TH Ave
Brooklyn, NY 11209-8351

Phone

(718) 833-7616

Fax

(718) 680-4297

NPI assigned

Apr 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Ridge Skin and Cancer Dermatology PCGroup PAC ID 0648209882, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Bay Ridge Skin and Cancer Dermatology, PC

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1639332281
  Medicare reassignment Care Compare group
• Bronx Dermatology

  • Dermatology Physician
  • Bronx, NY
  • NPI 1699955013
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1619267382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098351",
            "telephone_number": "718-833-7617",
            "fax_number": "718-680-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098351",
            "telephone_number": "718-833-7616",
            "fax_number": "718-680-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JACQUELINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther B. Levine
• Gary S Levine, DDS
• Howard J Levine, M.D.
• Israel Yudi Levine
• Ivy Levine, M.S.
• Jeffrey Levine, MD
• Jennifer Jill Levine, L.AC.
• Jill Loren Levine, D.O.
• Kerri Levine
• Lori Levine, RD CD-N

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.