Mark M Levine DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0003194 Issued in NY

Legal business name

MARK M LEVINE DPM PC

Practice address

67-09 75 St
Middle Village, NY 11379

Phone

(718) 894-9291

Fax

(718) 894-9745

NPI assigned

Dec 26, 2007

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark M Levine, DPM

Title

President

Phone

(718) 894-9291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1720262843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-09 75 ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11379",
            "telephone_number": "718-894-9291",
            "fax_number": "718-894-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-09 75 ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11379",
            "telephone_number": "718-894-9291",
            "fax_number": "718-894-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M LEVINE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-894-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0003194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Manning, OTR/L
• Gail A Mante, M.P.T.
• Marco Maran, LMSW
• Cindy E Marcus, SPEECH THERAPIST
• Mark M Levine DPM PC
• Alan Markovic, RPH
• Maryanne Marsaggi, MS OF ED.
• Bernard F. Martin III, DPM
• Kimberly T Martinez
• Mary Louise Gabriel, LMHC

• Podiatrist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.