David J. Levine, M.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DAVID J. LEVINE, M.D., P.A.

Practice address

19271 Montgomery Village Ave
Suite H-2
Montgomery Village, MD 20886-5021

Phone

(301) 977-2300

Fax

(301) 977-2348

NPI assigned

Jun 16, 2010

Organization subpart

No

Name

Dr. David Jay Levine, M.D.NPI 1932108040

Title

President

Phone

(301) 977-2300

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jay Levine, MD

  • Ophthalmology Physician
  • Montgomery Village, MD
  • NPI 1932108040

  DC

  Medicare reassignment NPD Authorized official
• Benjamin Levine, MD

  • Ophthalmology Physician
  • Gaithersburg, MD
  • NPI 1588834691

  DC

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in DC

Locations

Interoperability endpoints

• Direct secure messaging: blevine@blevine.intellechartdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2010.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1689995433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19271 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE H-2",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865021",
            "telephone_number": "301-977-2300",
            "fax_number": "301-977-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19271 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE H-2",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865021",
            "telephone_number": "301-977-2300",
            "fax_number": "301-977-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. LEVINE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-977-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188721100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Montgomery Village, MD
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.