LISA SUWANNA LEVINE (NPI# 1265057814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265057814 |
| Entity Type | Individual |
| Full Name | LISA SUWANNA LEVINE |
| Credential | MD |
| Practice Address |
94 Old Short Hills Rd Livingston NJ 07039-5672 |
| Mailing Address |
242 Bellevue Ave Apt F Montclair NJ 07043-1341 |
| Practice Telephone | 9733225777 |
| Mailing Telephone | 4043845705 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 242 Bellevue Ave Apt F, Montclair, NJ 070431341 | 4043845705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497271233 | Lisa Levine | Counselor | 1191 Route 166, Toms River, NJ 08753-4172 | 2017-08-14 |
| 1750712972 | Lisa Levine | Social Worker | 1641 Midstate Ln, Castleton On Hudson, NY 12033-1704 | 2013-12-13 |
| 1710192992 | Lisa Helaine Levine | Psychologist | 11227 Lockwood Dr, Silver Spring, MD 20901-4562 | 2007-05-11 |
| 1174143531 | Lisa Ann Levine | Pharmacist | 420 Main St, Forest City, PA 18421-1420 | 2020-04-25 |
| 1053718973 | Lisa Levine | Occupational Therapy Assistant | 63 Locust St, Danvers, MA 01923-2240 | 2014-11-20 |
| 1972905925 | Lisa Levine | Nurse Anesthetist, Certified Registered | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-09-22 |
| 1245558220 | Lisa D Levine | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2010-05-14 |
| 1245469451 | Lisa F Levine | Counselor | 7100 West Camino Real, #302, Boca Raton, FL 33433 | 2009-07-09 |
| 1881865814 | Lisa Levine | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2008-03-18 |
| 1700069069 | Lisa Beth Levine | Speech-Language Pathologist | 1 Oakwood Blvd, Suite 130, Hollywood, FL 33020-1956 | 2007-12-10 |
| Street Address |
94 OLD SHORT HILLS RD |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707293 | Wendy Warren | Obstetrics & Gynecology | 94 Old Short Hills Rd, Ste 402, Livingston, NJ 07039-5672 | 2005-06-01 |
| 1609482272 | Laura Alban | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-09-19 |
| 1437769916 | Emma Anonuevo | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-08-09 |
| 1972120715 | Julianne Palardy | Registered Nurse | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-27 |
| 1841814860 | Lea George | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-05 |
| 1881218907 | Victoria Anne Latella | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-04 |
| 1427672856 | Lauren Elizabeth Gottshall | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-01 |
| 1427679620 | Esther Robin | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-04-29 |
| 1447871645 | Madeline Lang | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-04-29 |
| 1578184776 | Michael Gregory Scutella | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1821594755 | Matthew Garrett | Student in an Organized Health Care Education/Training Program | 9 Northfield Ct, Livingston, NJ 07039-4623 | 2018-03-31 |
| 1033641469 | Michael Kennth Dalton | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd Dept Of, Livingston, NJ 07039-5672 | 2017-04-03 |
| 1811428469 | Kimberly Alzuphar | Student in an Organized Health Care Education/Training Program | 44 Wingate Dr, Livingston, NJ 07039-3518 | 2017-03-24 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1326492893 | Jordan Benjamin Elman | Student in an Organized Health Care Education/Training Program | 299 E Cedar St, Livingston, NJ 07039-4218 | 2016-04-20 |
| 1760836878 | Steven Shapiro | Student in an Organized Health Care Education/Training Program | 6 Alpine Way, Livingston, NJ 07039-4706 | 2016-04-15 |
| 1700259595 | Kelly Devota Edwards | Student in an Organized Health Care Education/Training Program | 100 North Washington St Station 14, Livingston, AL 35470 | 2015-11-03 |
| 1396010187 | Rohini Reveti Raman Dhar | Student in an Organized Health Care Education/Training Program | 17 Lockhern Dr, Livingston, NJ 07039-6224 | 2012-03-13 |
| 1457376824 | Bradley Scott Montgomery | Student in an Organized Health Care Education/Training Program | Uwa Station 14, Livingston, AL 35470-0682 | 2006-07-13 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.