Active NPI
Paul S Levinson, OD
- Optometrist
- Newfoundland, NJ
National Provider Identifier
1760437834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA004235
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047630701 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
PO Box
Suite 733
Newfoundland, NJ 07435-0733
Phone (973) 697-8100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004235 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Eye Care Center | Optometrist | Current | Accepting new patients |
| Eye Care Center of North Jersey LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.