DR. JONATHAN D LEVINE (NPI# 1649200064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649200064 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN D LEVINE |
| Credential | M.D. |
| Practice Address |
28 Crescent St Middletown CT 06457-3654 |
| Mailing Address |
Po Box 1590 New Haven CT 06506-1590 |
| Practice Telephone | 8603446174 |
| Practice Fax Number | 8603446062 |
| Mailing Telephone | 2033978000 |
| Mailing Fax Number | 2033891540 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
031481 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE# | 4832 | 01 |
| CT | BC/BS# | 500HBL066CT01 | 01 |
| CT | AETNA/US HEALTHCARE# | 0004400862 | 01 |
| CT | BLUE CARE FAMILY PLAN# | 001314814P1 | 01 |
| CT | CIGNA# | 5024698 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750311 | Jonathan James Levine | Chiropractor | 3330 S Price Rd, Suite D-110, Tempe, AZ 85282-7530 | 2006-04-18 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1316338072 | Jonathan Marc Levine | Surgery | 240 E Huron St Ste 1-200, Chicago, IL 60611 | 2015-02-16 |
| 1659536241 | Jonathan B Levine | Dentist | 923 5th Ave, New York, NY 10021-2649 | 2008-07-23 |
| 1497812101 | Jonathan Levine | Internal Medicine | 45 Francis St, Asb-2, Boston, MA 02115-6105 | 2007-01-02 |
| 1497769509 | Jonathan L Levine | Obstetrics & Gynecology | 4 Shaws Cv, New London, CT 06320-4956 | 2006-07-27 |
| 1548283393 | Jonathan Scott Levine | Surgery | 4801 N Federal Hwy, Suite # 101, Fort Lauderdale, FL 33308-4618 | 2006-07-25 |
| 1487673448 | Jonathan Levine | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-19 |
| 1427085190 | Jonathan L Levine | Otolaryngology | 931 Sharit Ave, Suite 101, Gardendale, AL 35071-5003 | 2006-06-27 |
| 1013964469 | Jonathan Philip Levine | Ophthalmology | 111 E 210th St, Dept of Ophthalmology, Bronx, NY 10467-2401 | 2006-05-30 |
| Street Address |
28 CRESCENT ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788859 | Eric B Neadel | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2005-05-23 |
| 1861001729 | Adrianne Lynn Wyckoff | Registered Nurse | 28 Crescent St, Middletown, CT 06457-3650 | 2020-07-27 |
| 1639791577 | Peder Johnsen | Nurse Practitioner | 28 Crescent St, Middletown, CT 06457-3654 | 2020-05-14 |
| 1275171530 | Lisa Ann Tringali | Recreation Therapist | 28 Crescent St, Middletown, CT 06457-3654 | 2019-12-18 |
| 1528600160 | Antonella Rosa Sferrazza | Counselor | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-15 |
| 1548801830 | Michael Tammaro | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-08 |
| 1699240705 | Mary Theresa Doyle | Social Worker | 28 Crescent St, Middletown, CT 06457-3650 | 2018-10-05 |
| 1649761040 | Emily Eklof | Nurse Practitioner | 28 Crescent St, Middletown, CT 06457 | 2018-05-22 |
| 1285141077 | Christine O'grady | Social Worker | 28 Crescent St, Middletown, CT 06457-3654 | 2018-01-03 |
| 1871022293 | Jacqueline Mary Atkinson | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134455223 | James Thomas Kurtis | Pathology | 1151 Aquidneck Ave, Suite 493, Middletown, RI 02842-5275 | 2009-10-23 |
| 1063963791 | Middlesex Laboratory Physicians, LLC | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2016-10-18 |
| 1528296837 | Thomas Stockl | Pathology | 707 E Main St, Middletown, NY 10940-2650 | 2009-06-25 |
| 1932359783 | Balamurali Varadarajalu | Pathology | 707 E Main St, Orange Regional Medical Center, Middletown, NY 10940-2650 | 2008-09-29 |
| 1316108871 | Min Guo | Pathology | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2008-06-18 |
| 1073699427 | Nathan Collins Walk | Pathology | 28 Crescent St, Middlesex Hospital, Middletown, CT 06457-3654 | 2006-10-28 |
| 1578652392 | Yong Ke | Pathology | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2006-10-11 |
| 1588693220 | Daniel Niejadlik | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2006-07-03 |
| 1992735310 | Barry Pearson | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2006-07-03 |
| 1164452587 | Joseph Semple | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2006-07-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.