Igor Levin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050084 Issued in NY

Practice address

380 Sunrise Mall
Massapequa, NY 11758-4325

Phone

(516) 798-3444

Fax

(516) 798-3443

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sunrise Mall Dental PC

  • Dentist
  • Massapequa, NY
  • NPI 1619022944
  Authorized official Same address or phone
• Paramus Park Mall Dental LLC

  • General Practice Dentistry
  • Paramus, NJ
  • NPI 1164969325
  Authorized official Same address or phone

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932313244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584325",
            "telephone_number": "516-798-3444",
            "fax_number": "516-798-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584325",
            "telephone_number": "516-798-3444",
            "fax_number": "516-798-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02337699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Leonard
• Maryann Leone, PH.D.
• Paige Leone
• Vadim Lerman, D.O.
• Nancy Leventhal
• Deanna L Levy, AU.D, CCC-A
• Jo-Ann Levy, LCSW
• Lewis Bauer DC PC
• Theresa Leykamm
• Li Walk-in Medical Care PC

• General Practice Dentistry in Massapequa, NY
• Providers in Massapequa, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.