Individual provider Active NPI

Lauren Lee Levy

  • Dermatology Physician
  • Westport, CT
National Provider Identifier
1720320435
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
56095 Issued in CT
Practice address
325 Riverside Ave
Westport, CT 06880-4820
Phone
(203) 226-3600
NPI assigned
Mar 20, 2013
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X 292293 NY
Dermatology Physician 207N00000X 56095 CT Primary

Addresses

Primary practice location

325 Riverside Ave
Westport, CT 06880-4820

Mailing address

325 Riverside Ave
Westport, CT 06880-4820
Phone (917) 847-2415

Other practice location 1

150 W 55th St Frnt 1
New York, NY 10019-5586
Phone (212) 991-6490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170517000462 CT Practitioner - Dermatology 7113246125 Reassigns benefits to 2 organizations
I20180710002268 NY Practitioner - Dermatology 7113246125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Amy B Lewis MD PCGroup PAC ID 1355400441, 2 clinicians
Advanced Dermatology and Laser Center, LLCGroup PAC ID 4880849900, 3 clinicians

Practice addresses (Care Compare)

172 E 75TH St
Apt 1
New York, NY 10021-3451
Phone (212) 288-6133

325 Riverside Ave
Westport, CT 06880-4820
Phone (203) 226-3600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions169
Removal or shaving of skin growth1-10
Skin biopsy144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
292293NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amy B Lewis MD PC Dermatology CurrentSince Apr 25, 2022 Accepting new patients
Yale University Dermatology CurrentSince Jul 1, 2017 Accepting new patients
Yale University CurrentSince Jul 1, 2017 Accepting new patients

Locations

5 S Main St
Ste 511
Branford, CT 06405
Phone (203) 208-0972

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1720320435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 RIVERSIDE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804820",
            "telephone_number": "917-847-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 RIVERSIDE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804820",
            "telephone_number": "203-226-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 55th St Frnt 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100195586",
            "country_code": "US",
            "telephone_number": "212-991-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "LAUREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "292293",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "56095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.