Active NPI
Jason Charles Le Vere
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1730723750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 012184-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012184-01 | NY | MD | Physical 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.