Active NPI
Lawrence N Levenson, M. D.
- Neurology Physician
- New Haven, CT
National Provider Identifier
1629019807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 023784
- Practice address
- 17 Hillhouse Ave
New Haven, CT 06511-6815 - Phone
- (203) 432-0076
- Fax
- (203) 432-7289
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 023784 | CT | Primary |
Addresses
Primary practice location
17 Hillhouse Ave
New Haven, CT 06511-6815
Mailing address
17 Hillhouse Ave
New Haven, CT 06511-6815
Phone (203) 432-0076
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023784 | CT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Past | Accepting new patients | |
| Virginia M Shiller, PH.D., LLC | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients | |
| Yale University | Neurology | Past | Accepting new patients |
| State of Connecticut | Past | Accepting new patients |
Organizations & group practices 5
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1629019807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HILLHOUSE AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116815",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HILLHOUSE AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116815",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENSON",
"first_name": "LAWRENCE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "023784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.