Dr Brian Levy , DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N005753 Issued in NY

Legal business name

DR BRIAN LEVY , DPM

Practice address

1390 Pennsylvania Ave
Suite E
Brooklyn, NY 11239-2103

Phone

(718) 642-2088

Fax

(718) 642-2096

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Levy, DPM

Title

Owner

Phone

(718) 642-2088

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1700069846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE",
            "address_2": "SUITE E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392103",
            "telephone_number": "718-642-2088",
            "fax_number": "718-642-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE",
            "address_2": "SUITE E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392103",
            "telephone_number": "718-642-2088",
            "fax_number": "718-642-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN LEVY , DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-642-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.