Charles Levinson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005801 Issued in NY

Practice address

340 Montauk Hwy
West Islip, NY 11795-4437

Phone

(631) 422-9530

Fax

(631) 376-1208

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1962440834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY STE 1",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954423",
            "telephone_number": "631-422-9530",
            "fax_number": "631-376-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954437",
            "telephone_number": "631-422-9530",
            "fax_number": "631-376-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "CHARLES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel T Leonte, MD
• Adam Brian Lesser, MD
• Denise E Lester, MD
• Letitia O. Brown LCSW, P.C.
• Kathleen Levenson
• David Levy, DO
• Matthew Peter Liakos, M.D.
• Dean Natale Licurgo, D.O.
• Krista Megan Limoncelli
• Lisa Lopinto, Clinical Psychologist, PC

• Physician Assistant in West Islip, NY
• Providers in West Islip, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.