Active NPI
Brian A. Levine, M.D., M.S., FACOG
- Reproductive Endocrinology Physician
- New York, NY
National Provider Identifier
1770748204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 257551
- Practice address
- 810 Seventh Ave FL 21
New York, NY 10019-5923 - Phone
- (212) 290-8100
- Fax
- (212) 269-3500
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 59925 | MN | |
| Reproductive Endocrinology Physician | 207VE0102X | ME148350 | FL | |
| Reproductive Endocrinology Physician | 207VE0102X | 67357 | CT | |
| Reproductive Endocrinology Physician | 207VE0102X | 257551 | NY | Primary |
Addresses
Primary practice location
810 Seventh Ave FL 21
New York, NY 10019-5923
Mailing address
810 Seventh Ave FL 21
New York, NY 10019-5923
Phone (212) 290-8100
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
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67357 | CT | MD | Reproductive Endocrinology Physician |
| ME148350 | FL | MD | Reproductive Endocrinology Physician |
| 59925 | MN | MD | Reproductive Endocrinology Physician |
| 257551 | NY | MD | Reproductive Endocrinology Physician |
Interoperability endpoints
- blevine67500@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614384000000",
"number": "1770748204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 SEVENTH AVE FL 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195923",
"telephone_number": "212-290-8100",
"fax_number": "212-269-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SEVENTH AVE FL 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195923",
"telephone_number": "212-290-8100",
"fax_number": "212-269-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "BRIAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D., M.S., FACOG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2021-02-27",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "59925",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "FL",
"license": "ME148350",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CT",
"license": "67357",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "257551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.