Active NPI
J Jay Levine, OTR
- Occupational Therapist
- Greenlawn, NY
National Provider Identifier
1841331444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1629
- Practice address
- 67 Derby Ave
Greenlawn, NY 11740-2130 - Phone
- (516) 381-5618
- Fax
- (631) 757-7641
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1629 | NY | Primary |
Addresses
Primary practice location
67 Derby Ave
Greenlawn, NY 11740-2130
Mailing address
67 Derby Ave
Greenlawn, NY 11740-2130
Phone (516) 381-5618
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1629 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841331444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 DERBY AVE",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117402130",
"telephone_number": "516-381-5618",
"fax_number": "631-757-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 DERBY AVE",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117402130",
"telephone_number": "516-381-5618",
"fax_number": "631-757-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "J",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "1629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenlawn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.