Marjorie Levitan MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

155557 Issued in NY

Legal business name

MARJORIE LEVITAN MD PC

Practice address

1090 Amsterdam Ave
Suite 8a
New York, NY 10025

Phone

(212) 376-4060

Fax

(212) 316-4062

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Marjorie Ruth Levitan, MDNPI 1609025949

Title

Ceo President

Phone

(212) 316-4060

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Marjorie Ruth Levitan, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1609025949
  NPD (past) Authorized official
• Sara Anne Levitan, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1093726812
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1962500363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20046",
            "address_2": "PARK WEST STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-316-4060",
            "fax_number": "212-316-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "address_2": "SUITE 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-376-4060",
            "fax_number": "212-316-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE LEVITAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "212-316-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP OF NEW YORK",
            "identifier": "184468P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2350461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "005AR2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatrice Chepchumba Maritim, DMD
• Sabrin Marium
• Fernando Temporal Mariz, M.D.
• Jackleen Suleiman Marji, MD, PHD
• Lara E Marji, RPA-C
• Marjorie Nolan Cohn LLC
• Mark a. Mintzer, D.M.D., P.C.
• Mark a. Steele, MD, PC
• Mark Allen Kemble and Nicolas Palacios Meza Physicians PC
• Mark C Homonoff MD PLLC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.