Organization Active NPI

Jonathan B. Levyn, D.O. PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1639210602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-005987-L Issued in PA
Legal business name
JONATHAN B. LEVYN, D.O. PC
Practice address
3402 F St
Philadelphia, PA 19134-1225
Phone
(215) 634-5481
Fax
(215) 634-0368
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan LevynNPI 1487697405
Title
President
Phone
(215) 634-5481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS-005987-L PA Primary

Addresses

Primary practice location

3402 F St
Philadelphia, PA 19134-1225

Mailing address

3402 F St
Philadelphia, PA 19134-1225
Phone (215) 634-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720001191 PA Part B Supplier - Clinic/Group Practice 5799765921 Receives reassigned benefits from 4 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639210602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 F ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341225",
            "telephone_number": "215-634-5481",
            "fax_number": "215-634-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 F ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341225",
            "telephone_number": "215-634-5481",
            "fax_number": "215-634-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN B. LEVYN, D.O. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVYN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-634-5481",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-005987-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.