Individual provider Active NPI

Victor Marcus Zelkovitz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Levittown, PA
National Provider Identifier
1780762609
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC-1858-L Issued in PA
Practice address
256 Juanita CT
Levittown, PA 19057-3631
Phone
(610) 356-7699
Fax
(610) 356-1771
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC-1858-L PA Primary

Addresses

Primary practice location

256 Juanita CT
Levittown, PA 19057-3631

Mailing address

256 Juanita CT
Levittown, PA 19057-3631
Phone (610) 356-7699

Other identifiers 1

IdentifierTypeStateIssuer
000500394MedicaidPA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-1858-LPAMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1780762609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 JUANITA CT",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573631",
            "telephone_number": "610-356-7699",
            "fax_number": "610-356-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 JUANITA CT",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573631",
            "telephone_number": "610-356-7699",
            "fax_number": "610-356-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELKOVITZ",
        "first_name": "VICTOR",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC-1858-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000500394",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.