Individual provider Active NPI

Paul S Levinson, OD

  • Optometrist
  • Newfoundland, NJ
National Provider Identifier
1760437834
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA004235 Issued in NJ
Practice address
2713 RT 23 South
Newfoundland, NJ 07435
Phone
(973) 697-8100
Fax
(973) 697-8104
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA004235 NJ Primary

Addresses

Primary practice location

2713 RT 23 South
Newfoundland, NJ 07435

Mailing address

2713 RT 23 South
PO Box 733
Newfoundland, NJ 07435
Phone (973) 697-8100

Other identifiers 1

IdentifierTypeStateIssuer
047630701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000879 NJ Practitioner - Optometry 6507079811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Eye Care Center 2 clinicians

Practice addresses (Care Compare)

PO Box
Suite 733
Newfoundland, NJ 07435-0733
Phone (973) 697-8100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA004235NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Eye Care Center Optometrist CurrentSince Jul 20, 2010 Accepting new patients
Eye Care Center of North Jersey LLC Optometrist CurrentSince Nov 28, 2022 Accepting new patients

Locations

2713 State Rt 23
Newfoundland, NJ 07435
Phone (201) 697-8100

350 Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-8040

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1760437834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 RT 23 SOUTH",
            "address_2": "PO BOX 733",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "07435",
            "telephone_number": "973-697-8100",
            "fax_number": "973-697-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 RT 23 SOUTH",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "07435",
            "telephone_number": "973-697-8100",
            "fax_number": "973-697-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA004235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047630701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

Verify at the official NPI Registry.