JACK J. LEVY (NPI# 1386797504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386797504 |
Entity Type | Individual |
Full Name | JACK J. LEVY |
Credential | M.D. |
Practice Address |
6529 174th St Fresh Meadows NY 11365-2009 |
Practice Telephone | 7184452228 |
Mailing Telephone | 7184452228 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
097713-1 | NY | Allopathic & Osteopathic Physicians |
X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
097713-1 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720512049 | Jack Levy | Student in an Organized Health Care Education/Training Program | 19-07 Radburn Rd, Fair Lawn, NJ 07410-4554 | 2017-04-13 |
Street Address |
6529 174TH ST |
City | FRESH MEADOWS |
State | NY |
Zip Code | 11365-2009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
Find all providers in zip 11365 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033560131 | Jarrod Holiday | Psychiatry & Neurology | Rochester Psychiatric Center, 1111 Elmwood Avenue, Rochester, NY 14620 | 2016-06-29 |
1144581471 | Daniel W Schwartz | Psychiatry & Neurology | 1390 Broadway, Apt. 212, Hewlett, NY 11557-1344 | 2012-06-04 |
1336411461 | Tsu Teng Loo | Psychiatry & Neurology | 41 Farm Rd, Saint James, NY 11780-1203 | 2012-02-06 |
1275840878 | Suchet Srivamsi Suryadevara Rao | Psychiatry & Neurology | 432 W 52nd St, New York, NY 10019-7651 | 2010-09-03 |
1891925764 | Lama Bazzi | Psychiatry & Neurology | 2500 Nesconset Highway Bldg 2, Stony Brook Faculty Practice, Stony Brook, NY 11790-2551 | 2009-07-24 |
1952567372 | Makeda Naomi Jones | Psychiatry & Neurology | 451 Clarkson Ave Dept Of, Brooklyn, NY 11203-2054 | 2008-08-05 |
1710170352 | Ziv Ezra Cohen | Psychiatry & Neurology | 200 W 57th St Ste 304, New York, NY 10019-3262 | 2007-08-27 |
1265657092 | James Whitney Hicks | Psychiatry & Neurology | Kirby Forensic P.C., Wards Island Complex, New York, NY 10035-6095 | 2007-04-16 |
1720130867 | L. Paul Antoine Sanon | Psychiatry & Neurology | 211 Central Park W Ste 1k, New York, NY 10024-6020 | 2007-01-17 |
1053460550 | Li-wen Grace Lee | Psychiatry & Neurology | First Ave and 27th St, Bellevue Hospital, Suite 19w33, New York, NY 10016 | 2007-01-10 |
Find all providers with the same taxonomy |
City | FRESH MEADOWS |
Zip Code | 11365 |
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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.