DR. MICHAEL IRA LEVINE (NPI# 1912971250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912971250 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL IRA LEVINE |
| Credential | M.D. |
| Practice Address |
1434 Williamsbridge Rd Bronx NY 10461-2507 |
| Practice Telephone | 6467595453 |
| Practice Fax Number | 6463744940 |
| Mailing Telephone | 6467595453 |
| Mailing Fax Number | 6463744940 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 38379 | WI | Other Service Providers |
| N | 207R00000X | Internal Medicine | 169142 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
169142 | NY | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
38379-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32303500 | 05 | |
| NY | 01110109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083118434 | Michael J Levine | Specialist | 61 Abner Dr, Farmingville, NY 11738-2638 | 2018-03-21 |
| 1629363486 | Michael Joseph Levine | Physician Assistant | 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 | 2011-06-09 |
| 1447575584 | Michael Barry Levine | Pharmacist | 84 Hampton St, Delmar, NY 12054-9726 | 2010-04-01 |
| 1689839268 | Michael Levine | Internal Medicine | 27 Williams Dr, Massapequa Park, NY 11762-4051 | 2008-07-23 |
| 1265606545 | Michael Levine | Chiropractor | 1017 S University Dr, Plantation, FL 33324-3321 | 2008-04-17 |
| 1881898872 | Michael A Levine | Internal Medicine | 105 Klack Rd., 105klack Rd., Breckenridge, CO 80424-0385 | 2007-06-13 |
| 1124245683 | Michael Jay Levine | Psychiatry & Neurology | 2930 Dominique Dr, Galveston, TX 77551-1571 | 2007-04-19 |
| 1689789489 | Michael J Levine | Surgery | 72 Woodbridge Ter, South Hadley, MA 01075-1131 | 2006-08-20 |
| 1447232202 | Michael Levine | Orthopaedic Surgery | 2550 Mosside Blvd Ste 405, Monroeville, PA 15146-3533 | 2005-11-17 |
| 1184617813 | Michael Jay Levine | Pediatrics | 914 W Center Ave, Visalia, CA 93291-5916 | 2005-08-29 |
| Street Address |
1434 WILLIAMSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096143 | Nadia Maharaj | Dietitian, Registered | 1434 Williamsbridge Rd, Bronx, NY 10461 | 2019-01-02 |
| 1336631837 | Lilian Ojilere | Nurse Practitioner | 1434 Williamsbridge Rd, Bronx, NY 10461-2507 | 2018-05-31 |
| 1699293472 | Magdalene Pavilus | Nurse Practitioner | 1434 Williamsbridge Rd, Bronx, NY 10461-2507 | 2017-08-31 |
| 1548481898 | Nabil A Elhadidy | Internal Medicine | 1434 Williamsbridge Rd, Bronx, NY 10461-2507 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417346321 | Maryanne Yacoub Sourial | Internal Medicine | 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539 | 2015-01-15 |
| 1437563137 | Bessy Suyin Flores Chang | Internal Medicine | 4422 3rd Ave Bldg 3, Bronx, NY 10457-2545 | 2014-06-20 |
| 1417225319 | Pablo Loarte Campos | Internal Medicine | 111 E 210th St Fl C2, Bronx, NY 10467-2401 | 2011-12-06 |
| 1437312758 | Bashar Ericsoossi | Internal Medicine | 1733 Eastchester Rd Ste 2, Bronx, NY 10461-2315 | 2008-07-07 |
| 1558532242 | Medical Diagnostic Nephrology, PC | Internal Medicine | 2409 Barker Ave, Bronx, NY 10467-7601 | 2008-03-20 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1144310855 | Robert E Feingold | Internal Medicine | Mmc - Dept. of Nephrology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1659304756 | Ritesh Raichoudhury | Internal Medicine | 1874 Pelham Pkwy S Apt Lr, Bronx, NY 10461-3749 | 2006-07-09 |
| 1629000948 | Mario A Henriquez | Internal Medicine | 2452 Bronx Park E, Bronx, NY 10467-7503 | 2006-07-07 |
| 1295711950 | Robert Chiles Alvis | Internal Medicine | 3468 Park Avenue, Bronx, NY 10456 | 2005-12-15 |
| Find all providers in BRONX | ||||
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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.