Active NPI
Jay L Levine, D.C.
- Chiropractor
- Johnson City, NY
National Provider Identifier
1851473748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4034
- Practice address
- 341 Harry L Dr
Johnson City, NY 13790-1402 - Phone
- (607) 797-7990
- Fax
- (607) 797-2230
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4034 | NY | Primary |
Addresses
Primary practice location
341 Harry L Dr
Johnson City, NY 13790-1402
Mailing address
341 Harry L Dr
Johnson City, NY 13790-1402
Phone (607) 797-7990
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40347 | Other | NY | WORKERS' COMPENSATION |
| 5510685 | Other | NY | AETNA |
| DC02335NLE | Other | NY | GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111122000410 | NY | Practitioner - Chiropractic | 8325212657 | Practice locations: Johnson City, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
341 Harry L Dr
Johnson City, NY 13790-1402
Phone (607) 797-9990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4034 | NY | MD | Chiropractor |
| 004034 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851473748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 HARRY L DR",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901402",
"telephone_number": "607-797-7990",
"fax_number": "607-797-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 HARRY L DR",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901402",
"telephone_number": "607-797-7990",
"fax_number": "607-797-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JAY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "4034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "40347",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5510685",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "DC02335NLE",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.