Active NPI
Brian Matthew Levine, DPM
- Foot & Ankle Surgery Podiatrist
- Jersey City, NJ
National Provider Identifier
1770787608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00291500
- Practice address
- 550 Summit Ave
Basement Office
Jersey City, NJ 07306-2707 - Phone
- (201) 303-1875
- NPI assigned
- Jun 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00291500 | NJ | Primary |
Addresses
Primary practice location
550 Summit Ave
Basement Office
Jersey City, NJ 07306-2707
Mailing address
14 Post LN
Livingston, NJ 07039-4905
Phone (973) 953-3275
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 |
|---|---|---|---|---|
| I20100929000219 | NJ | Practitioner - Podiatry | 9234255159 | Practice locations: East Orange, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Foot and Ankle Care | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
550 Summit Ave
Bsmt
Jersey City, NJ 07306
Phone (201) 209-1802
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Jersey City, NJ
- NPI 1275958472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1770787608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 POST LN",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394905",
"telephone_number": "973-953-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SUMMIT AVE",
"address_2": "BASEMENT OFFICE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062707",
"telephone_number": "201-303-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "BRIAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00291500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.