Individual provider Active NPI

Jason Charles Le Vere

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1730723750
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
012184-01 Issued in NY
Practice address
214 W Houston St
New York, NY 10014-4846
Phone
(212) 337-9400
NPI assigned
Nov 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 012184-01 NY Primary

Addresses

Primary practice location

214 W Houston St
New York, NY 10014-4846

Mailing address

8635 Queens Blvd Apt 3S
Elmhurst, NY 11373-4438
Phone (831) 207-6154

Other names 1

  • Jason Charles Alcoriza Le Vere 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
012184-01NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1730723750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD APT 3S",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734438",
            "telephone_number": "831-207-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144846",
            "telephone_number": "212-337-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE VERE",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "012184-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON CHARLES",
            "last_name": "LE VERE",
            "middle_name": "ALCORIZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.