Individual provider Active NPI

Robert Seth Levine, DO

  • Dermatology Physician
  • East Setauket, NY
National Provider Identifier
1700837234
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
255668 Issued in NY
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

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14050OtherNJUNIVERSITY HEALTH PLANS
189069OtherNJAMERICAID/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121000630 NY Practitioner - Dermatology 2264467489 Reassigns benefits to 1 organization

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
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

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 Hospital, New York, NY, CCN 330024

Merit-based Incentive Payment System (MIPS)

Final score
37.83 of 100Reported as individual
Quality
54.04
Promoting interoperability
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1444
Removal of nail tissue1-10
Removal or shaving of skin growth44
Skin biopsy331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
255668NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC Dermatology CurrentSince Jun 30, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.