Active NPI
Joshua Louis Levine, MD
- Plastic and Reconstructive Surgery Physician
- New York, NY
National Provider Identifier
1982627808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 208642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020766405 | Other | NY | TAX ID NY |
| 462508521 | Other | NJ | TAX ID NJ |
| 1063533 | Medicaid | LA |
Other names 1
- Dr. Joshua L Levine
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 045702 | CT | MD | Plastic and Reconstructive Surgery Physician |
| 208642 | NY | MD | Plastic and Reconstructive Surgery Physician |
| MD28376 | SC | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua L Levine MD NJ PC | Plastic and Reconstructive Surgery | Current | Accepting new patients |
Locations
1601 State Route 35
Unit 298
Middletown, NJ 07748
Phone (732) 769-2557
Interoperability endpoints
- 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.
-
dba Center for Breast Reconstruction
- Plastic and Reconstructive Surgery Physician
- Hackensack, NJ
- NPI 1952817579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.