Richard Teddy Levine, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA03356800 Issued in NJ

Practice address

120 Madison Ave
Suite B
Mount Holly, NJ 08060-2055

Phone

(609) 261-4925

Fax

(609) 261-9362

NPI assigned

Jun 26, 2006

Last updated

Jan 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grossman, Levine, Digaetano

  • Obstetrics & Gynecology Physician
  • Mount Holly, NJ
  • NPI 1275569709
  Authorized official Same address or phone
• Phoenix OB GYN Associates, LLC

  • Obstetrics & Gynecology Physician
  • Mount Holly, NJ
  • NPI 1699701722
  Authorized official Same address or phone
• Richard Levine

  dba Grossman Levine DiGaetano

  • Medical Specialty Clinic/Center
  • Mount Holly, NJ
  • NPI 1750552048
  Authorized official Same address or phone
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Gynecology

  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1689601791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 NEELEY ROAD",
            "address_2": "305TH MEDICAL GROUP",
            "city": "MCGUIRE AFB",
            "state": "NJ",
            "postal_code": "08641",
            "telephone_number": "609-261-6701",
            "fax_number": "609-261-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON AVE",
            "address_2": "SUITE B",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602055",
            "telephone_number": "609-261-4925",
            "fax_number": "609-261-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RICHARD",
        "middle_name": "TEDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA03356800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000163008",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0016729",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0085815000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Treatment Services Inc
• Legacy Treatment Services, Inc.
• Bridget Alexis Legrazie, RN, APN,C.
• Elizabeth Ann Leiner, APN
• Stephen J Leitner, M.D.
• Olivia Lewandowski, M.S. CF-SLP
• Paul P Lograsso, DO
• Providencia Lopez, CRNA
• LPM Homcare LLC (dba senior helpers)
• Jeffrey L Magasiny, CRNP, CEN

• Gynecology Physician in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.