Individual provider Active NPI

Mark Gerald Levano, D.C.

  • Chiropractor
  • Bethpage, NY
National Provider Identifier
1730136664
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004033-2 Issued in NY
Practice address
112 Haypath Rd
Bethpage, NY 11714-1427
Phone
(516) 433-7168
Fax
(516) 938-5773
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004033-2 NY Primary

Addresses

Primary practice location

112 Haypath Rd
Bethpage, NY 11714-1427

Mailing address

112 Haypath Rd
Bethpage, NY 11714-1427
Phone (516) 433-7168

Other names 1

  • Dr. Mark Gerald Levano Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004033NYMDMental Health Counselor
004033-2NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1730136664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAYPATH RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141427",
            "telephone_number": "516-433-7168",
            "fax_number": "516-938-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HAYPATH RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141427",
            "telephone_number": "516-433-7168",
            "fax_number": "516-938-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANO",
        "first_name": "MARK",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "004033-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LEVANO",
            "middle_name": "GERALD",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.