Active NPI
Renee O Levine, DMD
- Dentist
- Scarsdale, NY
National Provider Identifier
1902086846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054541
- Practice address
- 800 Central Park Ave
Scarsdale, NY 10583-2589 - Phone
- (914) 472-4343
- Fax
- (914) 472-7005
- NPI assigned
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21934 | MA | |
| Dentist | 122300000X | 054541 | NY | Primary |
Addresses
Primary practice location
800 Central Park Ave
Scarsdale, NY 10583-2589
Mailing address
800 Central Park Ave
Suite 205
Scarsdale, NY 10583-2589
Phone (914) 472-4343
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 |
|---|---|---|---|
| 054541 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1902086846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CENTRAL PARK AVE",
"address_2": "SUITE 205",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105832589",
"telephone_number": "914-472-4343",
"fax_number": "914-472-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CENTRAL PARK AVE",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105832589",
"telephone_number": "914-472-4343",
"fax_number": "914-472-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "RENEE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21934",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.