Individual provider Active NPI

Joshua M Levy, RD

  • Registered Dietitian
  • Edgartown, MA
National Provider Identifier
1861518326
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3260 Issued in MA
Practice address
256 Edgartown Vineyard Haven Rd
Edgartown, MA 02539-6933
Phone
(508) 627-3235
Fax
(508) 627-7270
NPI assigned
Mar 22, 2007
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3260 MA Primary

Addresses

Primary practice location

256 Edgartown Vineyard Haven Rd
Edgartown, MA 02539-6933

Mailing address

95 W Tisbury Rd
Edgartown, MA 02539-7183
Phone (508) 627-3235

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3260MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Family Practice Clinic Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1861518326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W TISBURY RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025397183",
            "telephone_number": "508-627-3235",
            "fax_number": "508-627-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 EDGARTOWN VINEYARD HAVEN RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025396933",
            "telephone_number": "508-627-3235",
            "fax_number": "508-627-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgartown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.