Active NPI
Edward Stuart Levey, DMD
- Dentist
- Kearny, NJ
National Provider Identifier
1851407902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D100967000
- Practice address
- 849 Kearny Ave
Kearny, NJ 07032-3209 - Phone
- (201) 991-4888
- Fax
- (201) 991-4888
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22D100967000 | NJ | Primary |
Addresses
Primary practice location
849 Kearny Ave
Kearny, NJ 07032-3209
Mailing address
17 Woodland Ave
North Caldwell, NJ 07006-4311
Phone (973) 618-0573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151216000828 | NJ | Order and Referring Only - Other (Physician) | 4789985755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D100967000 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851407902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WOODLAND AVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070064311",
"telephone_number": "973-618-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323209",
"telephone_number": "201-991-4888",
"fax_number": "201-991-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEY",
"first_name": "EDWARD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D100967000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearny, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.