Organization Active NPI

Richard a Levin, MD,DMD,Lawrence J. Fliegelman, M.D.,LLC

  • Otolaryngology Physician
  • Fairfield, CT
National Provider Identifier
1831383371
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
032601 Issued in CT
Legal business name
RICHARD A LEVIN, MD,DMD,LAWRENCE J. FLIEGELMAN, M.D.,LLC
Practice address
1305 Post Rd
Suite 302
Fairfield, CT 06824-6016
Phone
(203) 259-4700
Fax
(203) 259-0328
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Maeve Harrigan
Title
Office Manager
Phone
(203) 259-4700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 040346 CT
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 032601 CT Primary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 039424 CT

Addresses

Primary practice location

1305 Post Rd
Suite 302
Fairfield, CT 06824-6016

Mailing address

1305 Post Rd
Suite 302
Fairfield, CT 06824-6016
Phone (203) 259-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000063 CT Part B Supplier - Clinic/Group Practice 3375623044 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfield, CT

National Provider Directory

National Provider Directory

Locations

1305 Post Rd
Ste 302
Fairfield, CT 06824
Phone (203) 259-4700

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1831383371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "address_2": "SUITE 302",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-259-4700",
            "fax_number": "203-259-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "address_2": "SUITE 302",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-259-4700",
            "fax_number": "203-259-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A LEVIN, MD,DMD,LAWRENCE J. FLIEGELMAN, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "MAEVE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-259-4700"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "040346",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "032601",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CT",
            "license": "039424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.