Active NPI
Leonard Levine, M.D.
- Pediatric Adolescent Medicine Physician
- Philadelphia, PA
National Provider Identifier
1679508691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD073928L
- Practice address
- St. Christopher'S Hospital for Children
Erie Ave at Front St
Philadelphia, PA 19134 - Phone
- (215) 427-6694
- NPI assigned
- Jul 11, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD073928L | PA | Primary |
Addresses
Primary practice location
St. Christopher'S Hospital for Children
Erie Ave at Front St
Philadelphia, PA 19134
Mailing address
Erie Ave at Front St
St. Christopher'S Hospital for Children
Philadelphia, PA 19134
Phone (215) 427-6694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012537280001 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679508691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ERIE AVE AT FRONT ST",
"address_2": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-427-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
"address_2": "ERIE AVE AT FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-427-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD073928L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012537280001",
"state": "PA"
}
],
"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 Jul 8, 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.