ETHAN LEVINE (NPI# 1487182283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487182283 |
| Entity Type | Individual |
| Full Name | ETHAN LEVINE |
| Practice Address |
70 Dubois St Newburgh NY 12550-4851 |
| Mailing Address |
720 Pelham Rd Apt 3c New Rochelle NY 10805-1016 |
| Practice Telephone | 8455614400 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020831 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
3863 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538300025 | Ethan R Levine | Psychologist | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2009-03-13 |
| 1144238577 | Ethan Levine | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-08-03 |
| Street Address |
70 DUBOIS ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879723 | Waleed Khalil | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2005-08-24 |
| 1598307985 | Jennifer Decker | Occupational Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2019-10-17 |
| 1689146003 | Denise Nicole Bambinelli | Speech-Language Pathologist | 70 Dubois St, Newburgh, NY 12550-4851 | 2018-12-24 |
| 1265949028 | Monika M Kapusniak | Nurse Anesthetist, Certified Registered | 70 Dubois St, Newburgh, NY 12550-4851 | 2018-01-03 |
| 1699289520 | Tin Wai Siu | Speech-Language Pathologist | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-11-30 |
| 1215390281 | Joseph Anthony Kaczmarek | Emergency Medicine | 70 Dubois St, Newburgh, NY 12550-4851 | 2016-03-29 |
| 1588068431 | Shella Frenel | General Acute Care Hospital | 70 Dubois St, Newburgh, NY 12550-4851 | 2014-10-21 |
| 1952702326 | Dubois Physician Services | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2014-09-04 |
| 1104254903 | Physician At Newburgh | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2013-10-15 |
| 1457697849 | Amy N Weart | Physical Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785156 | Phyllis Young | Physician Assistant | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-08-31 |
| 1225042344 | Julie C Ormiston | Physician Assistant | 308 Fullerton Ave, Newburgh, NY 12550-3722 | 2006-07-27 |
| 1225014210 | Thomas W Waters | Physician Assistant | 5911 Laurel Ridge Dr, Newburgh, IN 47630-8067 | 2005-12-21 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1740762673 | Elizabeth Conkling | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2018-09-06 |
| 1083120273 | Brianna Miller | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2017-12-26 |
| 1457870289 | Stephanie Marie Kramer | Physician Assistant | 200 Stony Brook Ct, Newburgh, NY 12550 | 2017-09-13 |
| 1497202964 | Lindsey Alt | Physician Assistant | 147 Lake St, Newburgh, NY 12550 | 2016-09-01 |
| 1962888248 | Kirstin A Tarquini | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2015-08-10 |
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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.