Active NPI
Marcos Levy, SURGICAL ASSISTANT
- Surgical Physician Assistant
- Weston, FL
National Provider Identifier
1871721670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 08-188
- Practice address
- 16100 Golf Club Rd Apt 101
Weston, FL 33326-1647 - Phone
- (954) 793-0358
- Fax
- (954) 349-9707
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 08-188 | FL | Primary |
Addresses
Primary practice location
16100 Golf Club Rd Apt 101
Weston, FL 33326-1647
Mailing address
16100 Golf Club Rd Apt 101
Weston, FL 33326-1647
Phone (954) 793-0358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-188 | Other | FL | SURGICAL ASSISTANT CERTFICATION |
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 |
|---|---|---|---|
| 08-188 | FL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1871721670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 GOLF CLUB RD APT 101",
"city": "WESTON",
"state": "FL",
"postal_code": "333261647",
"telephone_number": "954-793-0358",
"fax_number": "954-349-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 GOLF CLUB RD APT 101",
"city": "WESTON",
"state": "FL",
"postal_code": "333261647",
"telephone_number": "954-793-0358",
"fax_number": "954-349-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MARCOS",
"name_prefix": "Dr.",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "08-188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SURGICAL ASSISTANT CERTFICATION",
"identifier": "08-188",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.