NPIMap

Organization Active NPI

Jack Levi DDS PA

  • Endodontics
  • Teaneck, NJ
National Provider Identifier
1720175912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8340 Issued in NJ
Legal business name
JACK LEVI DDS PA
Practice address
185 Cedar LN
Suite L7
Teaneck, NJ 07666-4316
Phone
(201) 385-5400
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack Levi, DDSNPI 1982791166
Title
President
Phone
(201) 385-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 8340 NJ Primary

Addresses

Primary practice location

185 Cedar LN
Suite L7
Teaneck, NJ 07666-4316

Mailing address

185 Cedar LN
Suite L7
Teaneck, NJ 07666-4316
Phone (201) 385-5400

National Provider Directory

National Provider Directory

Locations

185 Cedar Ln
Ste L7
Teaneck, NJ 07666
Phone (201) 385-5400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720175912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE L7",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-385-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE L7",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-385-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK LEVI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-385-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "8340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.