Beth R Levy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009040 Issued in NY

Practice address

40 Undercliff Rd
Millburn, NJ 07041-1510

Phone

(646) 772-5505

NPI assigned

Apr 23, 2007

Last updated

Apr 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Beth Lustgarten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J.P. Makhlouf M.D. F.a.Ap. Tiziana Anello M.D F.a.a.P P.a.

  dba Roseland Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Roseland, NJ
  • NPI 1811066798
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1710105606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNDERCLIFF RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411510",
            "telephone_number": "646-772-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNDERCLIFF RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411510",
            "telephone_number": "646-772-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "BETH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "LUSTGARTEN",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leit Psychotherapy LLC
• Eric S Lerner, DC
• Julia B Levenberg, LCSW
• Robert Levine, MD
• Andrew S Levy, MD
• Frank J Liggio, M.D.
• Teresa J. Limido, DPM
• Ellen J Lipkind, PT
• Sarah Rose Lockenvitz, B.S., P.T.A
• Marc Francis Lombardy

• Physician Assistant in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.