Individual provider Active NPI

Matthew E Levison, MD

  • Infectious Disease Physician
  • Bryn Mawr, PA
National Provider Identifier
1922245018
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD011610E Issued in PA
Practice address
708 Mount Pleasant Rd
Bryn Mawr, PA 19010-1846
Phone
(610) 527-1292
Fax
(610) 527-3551
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD011610E PA Primary

Addresses

Primary practice location

708 Mount Pleasant Rd
Bryn Mawr, PA 19010-1846

Mailing address

708 Mount Pleasant Rd
Bryn Mawr, PA 19010-1846
Phone (610) 527-1292

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD011610EPAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1922245018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MOUNT PLEASANT RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101846",
            "telephone_number": "610-527-1292",
            "fax_number": "610-527-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MOUNT PLEASANT RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101846",
            "telephone_number": "610-527-1292",
            "fax_number": "610-527-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVISON",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD011610E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.