Active NPI
Jerome H Levy, MD
- Specialist
- Bronx, NY
National Provider Identifier
1710969746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 098977-1
- Practice address
- 1101 Pelham Pkwy N
Bronx, NY 10469-5411 - Phone
- (718) 519-1000
- Fax
- (718) 515-2616
- NPI assigned
- Nov 16, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 098977-1 | NY | Primary |
Addresses
Primary practice location
1101 Pelham Pkwy N
Bronx, NY 10469-5411
Mailing address
1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone (718) 519-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0168841 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098977-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Eye Surgery Associates PLLC | Specialist | Current | Accepting new patients |
Locations
1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jlevy68939@northwell.direct-ci.com
Organizations & group practices 1
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.
-
- Specialist
- Bronx, NY
- NPI 1699873067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1710969746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PELHAM PKWY N",
"city": "BRONX",
"state": "NY",
"postal_code": "104695411",
"telephone_number": "718-519-1000",
"fax_number": "718-515-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 PELHAM PKWY N",
"city": "BRONX",
"state": "NY",
"postal_code": "104695411",
"telephone_number": "718-519-1000",
"fax_number": "718-515-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JEROME",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "098977-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0168841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.