Individual provider Active NPI

Jordan Levy, PH.D.

  • Psychologist
  • Livingston, NJ
National Provider Identifier
1730474503
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020157 Issued in NY
Practice address
66 W Mount Pleasant Ave Ste 206
Livingston, NJ 07039-2930
Phone
(973) 251-2228
NPI assigned
Jun 9, 2011
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020157 NY Primary

Addresses

Primary practice location

66 W Mount Pleasant Ave Ste 206
Livingston, NJ 07039-2930

Mailing address

66 W Mount Pleasant Ave Ste 206
Livingston, NJ 07039-2930
Phone (973) 251-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 28, 2019 through Aug 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
020157NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Levy, PH.D. LLC Current Accepting new patients

Locations

290 S Livingston Ave
Livingston, NJ 07039
Phone (973) 539-1155

290 S Livingston Ave
Ste 4
Livingston, NJ 07039

66 W Mount Pleasant Ave
Ste 206
Livingston, NJ 07039
Phone (973) 251-2228

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, 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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1730474503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W MOUNT PLEASANT AVE STE 206",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392930",
            "telephone_number": "973-251-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W MOUNT PLEASANT AVE STE 206",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392930",
            "telephone_number": "973-251-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.