Individual provider Active NPI

Vicki J Levine, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1932198983
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
147719 Issued in NY
Practice address
635 Madison Ave
3Rd Floor
New York, NY 10022-1009
Phone
(212) 588-8806
Fax
(212) 308-6847
NPI assigned
Oct 20, 2005
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 147719 NY Primary

Addresses

Primary practice location

635 Madison Ave
3Rd Floor
New York, NY 10022-1009

Mailing address

635 Madison Ave
3Rd Floor
New York, NY 10022-1009
Phone (212) 588-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000097 NY Practitioner - Dermatology 2062412422 Reassigns benefits to 3 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray Hill Dermatology Associates PCGroup PAC ID 0840399598, 5 clinicians
Orbuch Brand Dermatology Associates LLPGroup PAC ID 4486543998, 4 clinicians

Practice addresses (Care Compare)

345 E 37TH St
RM 307
New York, NY 10016-3256
Phone (212) 532-5355

4277 Hempstead Tpke
Suite 206
Bethpage, NY 11714-5706
Phone (516) 731-6505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147719NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Hill Dermatology Associates P C Dermatology CurrentSince May 21, 2024 Accepting new patients
Manhattan Dermatology PLLC Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology CurrentSince May 20, 2024 Accepting new patients
Eric Kusseluk, M.D., LLC Dermatology Past Accepting new patients
Average Dermatology Nyc PC Past Accepting new patients
New York University Medical Center Dermatology Past Accepting new patients
Vicki J Levine M.D. PastSince Jun 26, 2013 Accepting new patients
New York University Medical Center Past Accepting new patients

Locations

4277 Hempstead Tpke
Ste 206
Bethpage, NY 11714
Phone (516) 731-6505

345 E 37th St
Rm 307
New York, NY 10016
Phone (212) 532-5355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7628/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA

Organizations & group practices 9

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1932198983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-588-8806",
            "fax_number": "212-308-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-588-8806",
            "fax_number": "212-308-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "VICKI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "147719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.