Active NPI
Robert Seth Levine, DO
- Dermatology Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 255668
- Practice address
- 4 Technology Dr
East Setauket, NY 11733-4080 - Phone
- (631) 689-3188
- Fax
- (732) 244-2804
- NPI assigned
- May 12, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 255668 | NY | Primary |
Addresses
Primary practice location
4 Technology Dr
East Setauket, NY 11733-4080
Mailing address
125 Belmill Rd
Bellmore, NY 11710-4507
Phone (516) 287-2969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14050 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 189069 | Other | NJ | AMERICAID/AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Nova Southeastern College of Osteo Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555
4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188
510 Montauk Hwy
West Islip, NY 11795-4422
Phone (631) 587-1132
5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200
Hospital & facility affiliations
- Mount Sinai Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.83 of 100
- Quality
- 54.04
- Promoting interoperability
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1444 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 44 |
| Skin biopsy | 331 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255668 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology PC | Dermatology | Current | Accepting new patients |
| Howard D. Solomon, DO, PC | Dermatology | Past | Accepting new patients |
| Rami E Geffner MD PA | Dermatology | Past | Accepting new patients |
Locations
366 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 499-1200
10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
4 Technology Dr
Setauket, NY 11733
Phone (631) 444-2700
4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132
510 Montauk Hwy
West Islip, NY 11795
Phone (631) 587-1132
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- rlevine@advderm.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
-
- Dermatology Physician
- Toms River, NJ
- NPI 1326098559
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1700837234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BELMILL RD",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117104507",
"telephone_number": "516-287-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TECHNOLOGY DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334080",
"telephone_number": "631-689-3188",
"fax_number": "732-244-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ROBERT",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "255668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "14050",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID/AMERIGROUP",
"identifier": "189069",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.