Individual provider Active NPI

Jonathan Levy, D.D.S.

  • General Practice Dentistry
  • W Long Branch, NJ
National Provider Identifier
1811918477
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NJ11525 Issued in NJ
Practice address
223 Monmouth Rd
W Long Branch, NJ 07764-1029
Phone
(732) 229-8118
Fax
(732) 229-4732
NPI assigned
Jul 21, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NJ11525 NJ Primary

Addresses

Primary practice location

223 Monmouth Rd
W Long Branch, NJ 07764-1029

Mailing address

223 Monmouth Rd
W Long Branch, NJ 07764-1029
Phone (732) 229-8118

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
NJ11525NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1811918477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MONMOUTH RD",
            "city": "W LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641029",
            "telephone_number": "732-229-8118",
            "fax_number": "732-229-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MONMOUTH RD",
            "city": "W LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641029",
            "telephone_number": "732-229-8118",
            "fax_number": "732-229-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "NJ11525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.