Active NPI
Marilyn L Levine, MD
- Internal Medicine Physician
- Holyoke, MA
National Provider Identifier
1710987607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33365
- Practice address
- 2 Hospital Dr Ste 101
D/B/a: Holyoke Associates in Internal Medicine
Holyoke, MA 01040-6616 - Phone
- (413) 536-8924
- Fax
- (413) 532-9141
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33365 | MA | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | 33365 | MA |
Addresses
Primary practice location
2 Hospital Dr Ste 101
D/B/a: Holyoke Associates in Internal Medicine
Holyoke, MA 01040-6616
Mailing address
260 New Ludlow Rd
Western Mass Physician Associates, Inc.
Chicopee, MA 01020-4324
Phone (413) 533-3470
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003708 | Medicaid | MA | |
| 100070 | Other | CIGNA | |
| G10005 | Other | HMO BLUE | |
| 033365 | Other | TUFTS | |
| 000000007941 | Other | BOSTON MEDICAL CENTER-HNP | |
| 2003708 | Other | MA | MEDICAID - PCC |
| 13900 | Other | HEALTH NEW ENGLAND | |
| 981296 | Other | NETWORK HEALTH | |
| 0003029 | Other | NEIGHBORHOOD HEALTH PLAN | |
| G10005 | Other | BLUECARE 65 | |
| 66448 | Other | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33365 | MA | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Medical Center, Inc. | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1710987607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 NEW LUDLOW RD",
"address_2": "WESTERN MASS PHYSICIAN ASSOCIATES, INC.",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204324",
"telephone_number": "413-533-3470",
"fax_number": "413-533-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR STE 101",
"address_2": "D/B/A: HOLYOKE ASSOCIATES IN INTERNAL MEDICINE",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010406616",
"telephone_number": "413-536-8924",
"fax_number": "413-532-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MARILYN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "33365",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "33365",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003708",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "100070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "G10005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "033365",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER-HNP",
"identifier": "000000007941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - PCC",
"identifier": "2003708",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "13900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "981296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0003029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE 65",
"identifier": "G10005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "66448",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.