Organization Active NPI

Wayne S Levin MD

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1720228455
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20625 Issued in CT
Legal business name
WAYNE S LEVIN MD
Practice address
3690 Main St
Bridgeport, CT 06606-3610
Phone
(203) 579-9000
Fax
(203) 374-6132
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Wayne S Levin, M.D.NPI 1568473494
Title
Owner/Physician
Phone
(203) 579-9000

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20625 CT Primary

Addresses

Primary practice location

3690 Main St
Bridgeport, CT 06606-3610

Mailing address

3690 Main St
Bridgeport, CT 06606-3610
Phone (203) 579-9000

National Provider Directory

National Provider Directory

Locations

3690 Main St
Bridgeport, CT 06606
Phone (203) 579-9000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1720228455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610",
            "telephone_number": "203-579-9000",
            "fax_number": "203-374-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610",
            "telephone_number": "203-579-9000",
            "fax_number": "203-374-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE S LEVIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "203-579-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "20625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.