Mark J. Levitan, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004472-1 Issued in NY

Legal business name

MARK J. LEVITAN, D.C., P.C.

Practice address

105 Maxess Rd
Suite S131
Melville, NY 11747-3851

Phone

(516) 359-8746

Fax

(631) 393-6837

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark J. Levitan, D.C.NPI 1063809143

Title

President

Phone

(516) 359-8746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Levitan, D.C.

  • Chiropractor
  • Commack, NY
  • NPI 1063809143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1730564832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAXESS RD",
            "address_2": "SUITE S131",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473851",
            "telephone_number": "516-359-8746",
            "fax_number": "631-393-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAXESS RD",
            "address_2": "SUITE S131",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473851",
            "telephone_number": "516-359-8746",
            "fax_number": "631-393-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. LEVITAN, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-359-8746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Melville, NY
• Providers in Melville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.