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Organization

STEVEN A. LEVY, DPM, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN A. LEVY D.P.M (PRESIDENT)
(201) 261-7407
Entity
Organization

Contact information

Practice address
297 KINDERKAMACK RD, SUITE 208, ORADELL, NJ 07649-1538
(201) 261-7407
(201) 261-7409
Mailing address
297 KINDERKAMACK RD, SUITE 208, ORADELL, NJ 07649-1538
(201) 261-7407
(201) 261-7409

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD001796
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160890
NJ
01
1366438442
NPI
NJ
01
1407831126
NPI
NJ
01
480024499
RR MEDICARE
NJ
01
542593W0B
IND PIN
NJ
01
A100000760
NY MEDICARE PTAN
NY
01
A400006903
NY MEDICARE
NY
01
A400007052
NY MEDICARE PIN
NY
01
DG9621
RR MEDICARE GROUP PTAN
NJ
Enumeration date
05/03/2007
Last updated
09/17/2015
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