Active NPI
Michelle Susan Levite
- General Practice Dentistry
- New York, NY
National Provider Identifier
1689875650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 037057
- Practice address
- 133 E 58TH St
#403
New York, NY 10022-1236 - Phone
- (212) 308-1544
- NPI assigned
- May 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 037057 | NY | Primary |
Addresses
Primary practice location
133 E 58TH St
#403
New York, NY 10022-1236
Mailing address
133 E.58 Street
#403
New York City, NY 10022
Phone (212) 308-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00955922 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689875650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E.58 STREET",
"address_2": "#403",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-308-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "#403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-308-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITE",
"first_name": "MICHELLE",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "037057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00955922",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.