Individual provider Active NPI

Aaron David Levy, IDC

  • Independent Duty Corpsman
  • Groton, CT
National Provider Identifier
1770810822
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
Naval Undersea Medical Institute 159 Trout Ave
Navsubase Nlon
Groton, CT 06349-5159
Phone
(860) 694-2876
Fax
(860) 694-3874
NPI assigned
Nov 11, 2009
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X NU Primary
Independent Duty Corpsman 1710I1002X 6969696969 CT

Addresses

Primary practice location

Naval Undersea Medical Institute 159 Trout Ave
Navsubase Nlon
Groton, CT 06349-5159

Mailing address

Naval Undersea Medical Institute 159 Trout Ave
Navsubase Nlon
Groton, CT 06349-5159
Phone (860) 694-2876

Other identifiers 1

IdentifierTypeStateIssuer
1710I1002XOtherCTIDC

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

LicenseStateTypeSpecialty
6969696969CTMDIndependent Duty Corpsman

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1770810822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL UNDERSEA MEDICAL INSTITUTE 159 TROUT AVE",
            "address_2": "NAVSUBASE NLON",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063495159",
            "telephone_number": "860-694-2876",
            "fax_number": "860-694-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL UNDERSEA MEDICAL INSTITUTE 159 TROUT AVE",
            "address_2": "NAVSUBASE NLON",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063495159",
            "telephone_number": "860-694-2876",
            "fax_number": "860-694-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CT",
            "license": "6969696969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDC",
            "identifier": "1710I1002X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.