Individual provider Active NPI

Kenneth Charles Levy, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1992929707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186144 Issued in NY
Practice address
156 William St
Ground Floor
New York, NY 10038-2609
Phone
(212) 233-3040
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186144 NY Primary

Addresses

Primary practice location

156 William St
Ground Floor
New York, NY 10038-2609

Mailing address

68 Greenbelt Pkwy
Holbrook, NY 11741-4442
Phone (646) 281-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000208 NY Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Allergy/ImmunologyPractitioner - Pain ManagementPractitioner - Addiction MedicinePractitioner - Preventive Medicine 3577872662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186144NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Eastside Service Center, Inc. CurrentSince Jul 10, 2006 Accepting new patients

Locations

80 Maiden Ln
Fl 3
New York, NY 10038

46 E Broadway
New York, NY 10002
Phone (212) 343-3520

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992929707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GREENBELT PKWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414442",
            "telephone_number": "646-281-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382609",
            "telephone_number": "212-233-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.