Alanna Estin Levine, M.D.

Individual provider Active NPI Pediatrics Physician · Tappan, NY

NPI 1821038902 · NPPES record last updated Apr 5, 2012

Key facts

NPI
1821038902
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
218998 (NY)
Practice address
422 Western Hwy
Tappan, NY 10983-1311
Phone
(845) 359-0010
Fax
(845) 359-3414
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120922000008 NY Practitioner - Pediatric Medicine 9436307030 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218998NYMDPediatrics Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP Current
since Nov 1, 2011
Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics Current
since Nov 1, 2011
Accepting new patients

Locations

22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

30 Ramland Rd S
Ste 200A
Orangeburg, NY 10962
Phone (845) 359-0010

30 Ramland Rd
Orangeburg, NY 10962
Phone (845) 359-0010

422 Western Hwy
Tappan, NY 10983
Phone (845) 359-0010

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alanna.levine.p1@direct.cwpw.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 218998 NY Yes

Addresses

Primary practice location

422 Western Hwy
Tappan, NY 10983-1311

Mailing address

422 Western Hwy
Tappan, NY 10983-1311
Phone (845) 359-0010

Other providers in Tappan, NY

All providers in Tappan, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.