Active NPI
Idan Levi
- Pharmacist
- Bronx, NY
National Provider Identifier
1659839140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061377
- Practice address
- 2334 Washington Ave
Bronx, NY 10458-7714 - Phone
- (718) 316-6766
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061377 | NY | Primary |
Addresses
Primary practice location
2334 Washington Ave
Bronx, NY 10458-7714
Mailing address
2334 Washington Ave
Bronx, NY 10458-7714
Phone (718) 316-6766
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061377 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medassure LLC | Current | Accepting new patients | |
| Medassure LLC | Current | Accepting new patients |
Locations
2334 Washington Ave
Bronx, NY 10458
Phone (646) 818-9824
Organizations & group practices 2
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": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581724800000",
"number": "1659839140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 WASHINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104587714",
"telephone_number": "718-316-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 WASHINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104587714",
"telephone_number": "718-316-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI",
"first_name": "IDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2020-02-15",
"certification_date": "2020-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.