NPIMap

Organization Active NPI

Joshua L Levine MD NJ PC

  • Plastic and Reconstructive Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1952817579
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA08711800 Issued in NJ
Legal business name
JOSHUA L LEVINE MD NJ PC
Doing business as
Center for Breast Reconstruction
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(732) 769-2557
Fax
(732) 361-2479
NPI assigned
Dec 19, 2017
Organization subpart
Yes
Parent organization
JOSHUA L LEVINE MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Kimberly Carroll
Title
Manager
Phone
(732) 769-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 25MA08711800 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

1601 Route 35 Unit 298
Middletown, NJ 07748-6711
Phone (732) 769-2557

Other practice location 1

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (732) 769-2557

Other names 1

  • Center for Breast Reconstruction Doing business as

National Provider Directory

National Provider Directory

Locations

1601 State Route 35
Unit 298
Middletown, NJ 07748
Phone (732) 769-2557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1952817579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROUTE 35 UNIT 298",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077486711",
            "telephone_number": "732-769-2557",
            "fax_number": "732-361-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "732-769-2557",
            "fax_number": "732-361-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Teaneck Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664245",
            "country_code": "US",
            "telephone_number": "732-769-2557",
            "fax_number": "732-361-2479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSHUA L LEVINE MD NJ PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSHUA L LEVINE MD PC",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-769-2557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA08711800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Breast Reconstruction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.