MR. KENNETH A LEVIN (NPI# 1679534515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679534515 |
| Entity Type | Individual |
| Full Name | MR. KENNETH A LEVIN |
| Credential | MD |
| Practice Address |
1200 East Ridgewood Ave East Wing - 2nd Floor Ridgewood NJ 07450 |
| Practice Telephone | 2014440868 |
| Practice Fax Number | 2014930797 |
| Mailing Telephone | 2014440868 |
| Mailing Fax Number | 2014930797 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA47765 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1970607 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750477410 | Kenneth Allen Levin | Dentist | 606 Fisher Street, Biloxi, MS 39534 | 2006-10-04 |
| 1073999660 | Kenneth Levin | Psychiatry & Neurology | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2015-08-05 |
| 1679848899 | Kenneth Herzl Levin | Ophthalmology | 4100 Linglestown Rd, Harrisburg, PA 17112-1071 | 2012-03-21 |
| 1760534655 | Kenneth Levin | Radiology | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2007-01-18 |
| 1265549422 | Kenneth J. Levin | Internal Medicine | 6777 W Maple Rd, Dept of Radiation Oncology Henry Ford Hospital, West Bloomfield, MI 48322-3013 | 2006-08-24 |
| 1982647061 | Kenneth E Levin | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2006-06-14 |
| 1336180546 | Kenneth Levin | Psychiatry & Neurology | 1093 Beacon St, Brookline, MA 02446-5695 | 2006-06-09 |
| 1134122781 | Kenneth P Levin | Pediatrics | 4411 Stilley Rd, Pittsburgh, PA 15227-1368 | 2005-05-27 |
| Street Address |
1200 EAST RIDGEWOOD AVE EAST WING - 2ND FLOOR |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453011 | Peter Heilbroner | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450 | 2006-03-29 |
| 1992843619 | Anne M Schultz | Dentist | 1200 East Ridgewood Ave, Ridgewood, NJ 07450 | 2007-02-02 |
| 1881731107 | Neurology Group of Bergen County Pa | Psychiatry & Neurology | 1200 East Ridgewood Ave, 2nd Floor East Wing, Ridgewood, NJ 07450-3957 | 2007-01-30 |
| 1144277286 | Michael J Sternschein Md,pa | Plastic Surgery | 1200 East Ridgewood Ave, 2nd Floor West Wing, Ridgewood, NJ 07450 | 2006-05-27 |
| 1578527941 | Kenneth A Citak | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450 | 2006-04-13 |
| 1629032016 | Mitchell Steinschneider | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450 | 2006-04-13 |
| 1396706230 | Jennifer A Cope | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450 | 2006-03-30 |
| 1750342697 | Reed C Perron | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450 | 2006-03-30 |
| 1295796134 | James Tuzio Shammas | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450 | 2006-03-30 |
| 1659332591 | John T Nasr | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619314705 | Bradley Marc Klein | Psychiatry & Neurology | 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937 | 2013-05-29 |
| 1861453011 | Peter Heilbroner | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450 | 2006-03-29 |
| 1699091918 | Fumin Tong | Psychiatry & Neurology | 1200 East Ridgewood Avenue, 2nd Floor East Wing Suite 208, Ridgewood, NJ 07450 | 2010-04-12 |
| 1356508741 | Daniel Berlin | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450-3957 | 2008-05-22 |
| 1801061585 | Yamini Naidu | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing, Ridgewood, NJ 07450-3957 | 2008-04-24 |
| 1336324789 | Allen Silverstein Md Pa | Psychiatry & Neurology | 127 Union St, Suite 110, Ridgewood, NJ 07450 | 2008-01-04 |
| 1740323138 | Dorothea Altschul | Psychiatry & Neurology | 1200 E Ridgewood Ave, 200, Ridgewood, NJ 07450-3957 | 2007-02-15 |
| 1821139502 | Olga Noskin | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450-3957 | 2007-02-08 |
| 1881731107 | Neurology Group of Bergen County Pa | Psychiatry & Neurology | 1200 East Ridgewood Ave, 2nd Floor East Wing, Ridgewood, NJ 07450-3957 | 2007-01-30 |
| 1750475075 | Allen Silverstein | Psychiatry & Neurology | 127 Union St, Ridgewood, NJ 07450-4478 | 2006-10-03 |
| Find all providers in RIDGEWOOD | ||||
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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.