Individual provider Active NPI

Joshua Louis Levine, MD

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1982627808
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
208642 Issued in NY
Practice address
57 W 57TH St Ste 1603
New York, NY 10019-2828
Phone
(212) 245-8140
Fax
(212) 245-8157
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 045702 CT
Plastic and Reconstructive Surgery Physician 2086S0122X 15239R LA
Plastic and Reconstructive Surgery Physician 2086S0122X 208642 NY Primary
Plastic and Reconstructive Surgery Physician 2086S0122X MD28376 SC

Addresses

Primary practice location

57 W 57TH St Ste 1603
New York, NY 10019-2828

Mailing address

1601 Hwy 35 Unit 298
Middletown, NJ 07748-6711
Phone (212) 245-8140

Other practice location 1

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

Other practice location 2

310 E 14th St
New York, NY 10003-4284
Phone (212) 979-4000

Other identifiers 3

IdentifierTypeStateIssuer
020766405OtherNYTAX ID NY
462508521OtherNJTAX ID NJ
1063533MedicaidLA

Other names 1

  • Dr. Joshua L Levine Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 21, 2019 through Jun 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045702CTMDPlastic and Reconstructive Surgery Physician
208642NYMDPlastic and Reconstructive Surgery Physician
MD28376SCMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua L Levine MD NJ PC Plastic and Reconstructive Surgery CurrentSince Dec 17, 2023 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: jlevine68007@northwell.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1982627808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HWY 35 UNIT 298",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077486711",
            "telephone_number": "212-245-8140",
            "fax_number": "212-245-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192828",
            "telephone_number": "212-245-8140",
            "fax_number": "212-245-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Route 35",
            "address_2": "#298",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077486711",
            "country_code": "US",
            "telephone_number": "732-769-2557",
            "fax_number": "732-361-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034284",
            "country_code": "US",
            "telephone_number": "212-979-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JOSHUA",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "045702",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "15239R",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "208642",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "MD28376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NY",
            "identifier": "020766405",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NJ",
            "identifier": "462508521",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "LEVINE",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.