Progressive Pediatric Endocrine

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

MA06077500 Issued in NJ

Legal business name

PROGRESSIVE PEDIATRIC ENDOCRINE

Practice address

90 Prospect Ave
Hackensack, NJ 07601-1909

Phone

(201) 342-6538

Fax

(201) 342-9569

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel B Levine, MD

Title

Pediatric Endocrinologist

Phone

(201) 942-6538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1669840096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-342-6538",
            "fax_number": "201-342-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-342-6538",
            "fax_number": "201-342-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PEDIATRIC ENDOCRINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDIATRIC ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "201-942-6538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "MA06077500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Progress ABA Institute
• Progressive Medical Imaging of Hackensack, LLC (Progressive Open MRI)
• Prospect Medical PC
• Prospect Psychiatric Services Limited Liability Company
• Prospect Women's Health Center, LLC
• Prospect Women's Medical Center
• Prospect Women's Medical Group, P.C.

• Pediatric Endocrinology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pediatric Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.