Organization Active NPI

Stanley I Levinger OD PA

  • Eyewear Supplier
  • Teaneck, NJ
National Provider Identifier
1962688069
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
27OA00359700 Issued in NJ
Legal business name
STANLEY I LEVINGER OD PA
Practice address
502B Cedar LN
Teaneck, NJ 07666-1713
Phone
(201) 836-5644
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Stanley I Levinger, ODNPI 1013040328
Title
President
Phone
(201) 836-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 27OA00359700 NJ Primary

Addresses

Primary practice location

502B Cedar LN
Teaneck, NJ 07666-1713

Mailing address

502B Cedar LN
Teaneck, NJ 07666-1713
Phone (201) 836-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000125 NJ Part B Supplier - Clinic/Group Practice 3274652532 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

502 Cedar Ln
#B
Teaneck, NJ 07666
Phone (201) 836-5644

502B Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-5644

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1962688069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502B CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661713",
            "telephone_number": "201-836-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502B CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661713",
            "telephone_number": "201-836-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY I LEVINGER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "LEVINGER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-5644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00359700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.