Individual provider Active NPI

Cherise Mizrahi-Levi, DO

  • Dermatology Physician
  • Wilton Manors, FL
National Provider Identifier
1649550591
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS16512 Issued in FL
Practice address
2140 NE 26TH St
Wilton Manors, FL 33305-1536
Phone
(347) 733-8652
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 265487 NY
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X OS16512 FL Primary

Addresses

Primary practice location

2140 NE 26TH St
Wilton Manors, FL 33305-1536

Mailing address

2140 NE 26TH St
Wilton Manors, FL 33305-1536
Phone (347) 733-8652

Other practice location 1

315 Church St
New York, NY 10013-2442
Phone (212) 334-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20150626000084 NY Practitioner - Dermatology 8123339504
I20200617000499 FL Practitioner - Dermatology 8123339504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2140 NE 26TH St
Wilton Manors, FL 33305-1536
Phone (954) 727-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions127
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16512FLMDDermatology Physician
265487NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherise Mizrahi-Levi DO PA Single Specialty CurrentSince Jun 1, 2020 Accepting new patients

Locations

2140 NE 26th St
Wilton Manors, FL 33305
Phone (347) 733-8652

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1649550591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051536",
            "telephone_number": "347-733-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051536",
            "telephone_number": "347-733-8652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Church St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100132442",
            "country_code": "US",
            "telephone_number": "212-334-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZRAHI-LEVI",
        "first_name": "CHERISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "265487",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS16512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.