DR. JONATHAN PHILIP LEVINE (NPI# 1013964469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013964469 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PHILIP LEVINE |
| Credential | M.D. |
| Practice Address |
111 E 210th St Dept of Ophthalmology Bronx NY 10467-2401 |
| Mailing Address |
3636 Waldo Ave # 7b Bronx NY 10463-2247 |
| Practice Telephone | 7189202020 |
| Mailing Telephone | 7188841565 |
| Mailing Fax Number | 7188841565 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 239456 | NY | Allopathic & Osteopathic Physicians |
| 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 |
| 1649200064 | Jonathan D Levine | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2006-07-03 |
| 1427085190 | Jonathan L Levine | Otolaryngology | 931 Sharit Ave, Suite 101, Gardendale, AL 35071-5003 | 2006-06-27 |
| Street Address |
111 E 210TH ST DEPT OF OPHTHALMOLOGY |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1134582588 | Matthew S Wieder | Ophthalmology | 3400 Bainbridge Ave Fl 1, Bronx, NY 10467-2404 | 2016-04-02 |
| 1669730974 | David Alevi | Ophthalmology | 860 Grand Concourse Apt 1n, Bronx, NY 10451-2815 | 2012-04-25 |
| 1366734691 | Robyn Helene Deutsch Sokol | Ophthalmology | 1764 Westchester Ave, Bronx, NY 10472-3022 | 2011-05-04 |
| 1184834459 | Ifeoma Ernestina Ezekwo | Ophthalmology | 3013 Grand Concourse, Bronx, NY 10468-1428 | 2007-05-23 |
| 1306059456 | Francis Anthony Manopoli | Ophthalmology | 2135 Colonial Ave, Bronx, NY 10461-3707 | 2007-05-07 |
| 1992922751 | Fiona Pathay | Ophthalmology | 1526 Waring Ave, Bronx, NY 10469-5914 | 2007-04-20 |
| 1780710749 | Patricia Ann Feller | Ophthalmology | 3671 Hudson Manor Ter, Bronx, NY 10463-1137 | 2007-02-26 |
| 1295888311 | Andrew Naing | Ophthalmology | 2355 Demeyer St, Bronx, NY 10469-6008 | 2007-01-19 |
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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.